HomeMy WebLinkAboutPOLICE RECORDS 01/21/2021 City 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 434.640.010, -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 Minimal Retention
Value"section of the Local Government Records Retention Schedule(CORE)).
Legal Disposition Authority(taken from Records Retention Schedule) Agency Records
Description Date Method of
Records Series Title Records Series Records Retention Minimum
Minimum Retention Period (Box/Item numbers, Dates Covered Destruction(See
DAN Schedule Re volume,etc.) Retention examples below*)
Ride Along LEO3-01-38 Law 3 years Ride along 01/01/2016 through 01/01/2021 Outside
documents Enforcement requests and 12/31/2017 Contractor
Schedule waivers Shredding
*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 be destroyed.
The individual responsible for inventorying the listed records must sign below prior to the Record's Manager approval:
Employee Signature: ff4"/ar/�G�--��� Printed Name: ArP 7 Division: 3 /
The Records Manager must sign the approval of this request prior to the destruction of the listedl1IL records: 9 I �J
Records Manager Signature: LIWIAN--1/ Printed Name: ����lrvrl L ��� ��f 1 Date Approved: l` I` L 0 G
The person/people responsi le f r the destruction of rec must sign upon destr do—n_off the listed records:
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Employee Signature: • • ted Name: �? 1�1� / /. ` ,/Q/4.��Date Records Destroyed: J �I �c
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 GS50-09-06.
Form Revised 05/06/2014