HomeMy WebLinkAboutHUMAN RESOURCES 01/05/2021City of Bremerton Public Records Destruction Log
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 434.640.0100 -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 Minimal Retention
Value" section of the Local Government Records Retention Schedule (CORE)).
Legal Disposition
Authority (taken from Records Retention Schedule)
ftency Records
_
Date
Records Series Title
Records Series Records Retention Minimum Retention Period
Description
(Box/item numbers
Dates Covered
Minimum
Method of
Destruction (See
DAN Schedule
volume, etc)
Re Me{on
examples below*)
sS50-046-22 Local Government Retain for 3 years after position
2017
Recruitment/Hiring
Background
12/31/2020
Secure shredding
Rev.1 Common Records ; illed/recruitment effort
investigations for
Retention Schedule terminated then Destroy.
unsuccessful Police
Officer applicants (5)
Recruitment/Hiring
S50-046-22
Local Government Retain for 3 years after position
Recruitment
2017
12/31/2020
Secure shredding
Rev. 1
Common Records filled/recruitment effort
materials for
Retention Schedule terminated then Destroy.
unsuccessful
candidates (2
recruitments
S2017-007
2017 IAFF leave
12017
12/31/2020
Secure shredding
Employee Benefits
Local Government Retain for 3 years after end of
Rev. 0
Common Records calendar year and no longer
donations (1 folder)
Retention Schedule needed for agency business then
�estroy.
Local Government 'Retain for 3 years after position
Secure shredding
Recruitment/Hiring
�S50-04B-22
2017 EEO Applicant
2017
12/31/2020
Rev. 1
Common Records ! illed/recruitment effort
Tracking Sheets (2
Retention Schedule germinated then Destroy.
items)
*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:
The Records Manager must sign the approval of this jreeqquueeesst/ppr_ior to the destruction of the listed records:
`
Records Manager Signature:�T �/") +r ,16C` Printed Name: _ C� l'rzollO0T4 lU �� Date Approved: j S�-Z/
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
Employee Signatures _ c ' Printed Na! Q- &hb 0 41 W&- Date Records Destroyed:
Vendor Business Name (if used):
Vendor Signature:
rinted Na
Phone: / (9 6 ! d-
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