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HomeMy WebLinkAboutHUMAN RESOURCES 11/09/2020 City of Bremerton Public Records Destruction Log CCTIvrr; The purpose of this form is to document compliance and reasonable accountability by verifying that specific public records have met current, approved minimum retention periods before being destroyed pursuant to RCW 40.14.070, WAC 434-610.070, and WAC 434.640.010, -020, and -030. Please fill out this form when destroying public records whose minimum retention is other than "Retain until no longer needed for agency business then destroy" (such as records covered in the "Records with f (011l Beben#ion Value"section of the Local Government Records Retention Schedule(CORE)). ��L� OFFICE OF THE _ Legal Disposition Authority(taken from Records Retention Schedule) Agency Records CFrY LERK Description Date Method of Records Series Records Retention Minimum Records Series Title Minimum Retention Period (Box/Item numbers, Dates Covered Destruction(See DAN Schedule Retention volume,etc) Met examples below*) Meetings—Staff GS50-01-43 Local Government Retain for 2 years after end 1 folder 1996 through 1999 December Secure Shredding and Internal Rev. 2 Common Records of calendar year and no 31, 2005 Committees Retention Schedule longer needed for agency business then Destroy. Benefit Programs- GS2017-007- Local Government Retain for 3 years after end 1 Document April 11, 1991 April 11, Secure Shredding Administration Rev. 0 Common Records of calendar year and no 1994 Retention Schedule longer needed for agency business then Destroy. Informational GS50-02-05 Local Government Retain until on longer 6 files 1988— 1 file December Secure Shredding Notifications/Com Rev. 2 Common Records needed for agency business 1992—5 files 31, 1992 munications Retention Schedule then Destroy Local Government 1 documents Year 2018 December Secure Shredding GS50 05A-26 Retain for 3 years after date 5 Eligibility Rev. 2 Common Records of hire or 1 year after 31, 2018 Retention Schedule separation from agency, Verification—U.S. p g y, Citizenship and whichever is later then Immigration Destroy. Services Communication- GS2010-001 Local Government Retain for 2 years after 6 Files Years 1984, 1990, 1991, 1994, December Secure Shredding Non Executive Rev. 2 Common Records communication received or and 1997- 31, 1999 Retention Schedule provided,whichever is later then Destroy. Position DescriptionGS50-04B-05 Local Government Retain for 6 years after 70 files Years 1986, 1988, 1990, 1993, December Secure Shredding and Classification Rev. 1 Common Records obsolete or superseded and 1995 31, 2001 Retention Schedule no longer needed for agency business then Destroy. (Position Description) Employee GS50-04E-03 Local Government Retained for 6 years after 1 Binder Year 1999 December Secure Shredding Complaints and Rev. 2 Common Records matter resolved/final 1 Folder 31, 2005 Grievances Retention Schedule determination of case and 2 Cassette Tapes no longer needed for agency 1 CD business then Destroy. Recruitment GS50-04B-22 Local Government Retain for 3 years after 1 Box Years 1987-2003 December Secure Shredding Rev. 1 Common Records position filled/recruitment 31, 2006 Retention Schedule effort terminated then Destroy. Recruitment GS50-04B-22 Local Government Retain for 3 years after 4 boxes Years 2015, 2016 and January July 31, Secure Shredding Rev. 1 Common Records position filled/recruitment —July 2017 2019 Retention Schedule effort terminated then Destroy. Civil Service System GS50-04B-35 Local Government Retain for 6 years after end 1 File 1997 December Secure Shredding —Program Rev. 1 Common Records of calendar year and 6 years 31, 2003 Administration Retention Schedule after matter resolved/case closed (if applicable)then Destroy. Position DescriptionGS50-04B-05 Local Government Retain for 6 years after 7 Files Year 1994-1998 December Secure Shredding and Classification Rev. 1 Common Records obsolete or superseded and 31, 2004 Retention Schedule no longer needed for agency business then Destroy. (Desk Audits) Bids and Proposals GS50-08A-01 Local Government Retain for 6 years after 1 Proposal August 2000 through October December Secure Shredding —Successful Rev. 1 Common Records completion of purchase or 2001 31, 2007 Retention Schedule fulfillment of contract Then Destroy. (The Martech Group) Bids and Proposals GS50-08A11- Local Government Retain for 4 years after end 1 Proposal August 2000 December Secure Shredding — Unsuccessful Rev. 1 Common Records of fiscal year then Destroy. 31, 2004 Retention Schedule(Fox Lawson &Associates) Misconduct GS50-04B-46 Local Government Retain for 6 years after case 37 Files; 41 Years 1988 through 1996 December Secure Shredding Investigation Files— Common Records closed/matter resolved and cassette tapes, 1 31, 2002 Founded Retention Schedule no longer needed for agency CD business and 6 years after corrective action completed, if imposed then Destroy Recruitment GS50-04B-22 Local Government Retain for 3 years after 3 boxes January—August 2017 August 31, Secure Shredding Rev. 1 Common Records position filled/recruitment 2020 Retention Schedule effort terminated then Destroy *Examples of methods of destruction:electronic deletion,in-house OR outside contractor shredding,secure recycling,other(describe) Statement: The public records listed above have met their minimum retention period(s), are not subject to ongoing or reasonably anticipated litigation or public records requests, are not needed for audit or other agency business, and shall bedestroyed. The individual responsible for inventorying the listed records must sign below prior to the Record's Manager approval: des Employee Signatur ��1 Printed Named InL(� �(� ��1 '" Division:'4U/014/ The Records Manager must sign the approval of this request prior to the destruction of the listed records:Records Manager Signature: Rfrnted Name: US `` v -50 Date Approved: GI Go?,e5 The person/people responsible for the destruction of records must sign upon destruction of the listed records: rdagEmployee Signatur 1044164 Printed NaZalaDit —`Y/4/l���" Date Records Destroyed: MO() . 9 / 6200 ° Vendor Business Name(if used): Phone: Vendor Signature: Printed Name: Date Records Destroyed: The retention and disposition action for this Public Records Destruction Log is"Retain for the life of the agency"pursuant to CORE series G550-09-06. Form Revised 05/06/2014 Name: CO OP CITY OF BREMERTON-HR CERTIFICATE OF DESTRUCTION Address: 345 6TH ST#100 May j1fjnia City: BREMERTC 98337 �+' � "' �o pox �nr f Phone: 360-271-1631 %% ♦. Request: MR MS-DEBBIE Oi j j %��% %jj�j CERTI .IED %///////%%/%/%f//./%/%/%%%/%%%%/%/%///i%/I \o, F. *,ti \Ad' Account : 2185-952778-1182 Service Date: 11/9/2020 Route Id: SN71 Ticket#: * 1478371 On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instructions. CUSTOMER COPY Service Description t Rate Amount SHPP 1.00 SHRED PER POUND 2i(, 1.76 L W, Driver Signature: 0 Date: Truck Customer Signature: Date: Time 2910 Hogum Bay Rd Olympia Wa 98516 E-Mail: Ims@wcnx.org Phone: 1-877-898-0112 Fax: 1-360-486-2467