HomeMy WebLinkAboutPOLICE 012423 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 Records Retention Minimum Destruction(See
Records Series Title DAN Schedule Minimum Retention Period (Box/Item numbers, Dates Covered Retention
volume,etc.) Met examples below*)
Bicycle licenses LE25-01-01 Law Retain until no longer 37 registrations 01/01/2003—04/20/2016 01/23/2023 Le y
Rev.1 Enforcement needed for agency business shredding
Schedule 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 be destroyed.
The individual responsible for inventory
ing the listed records must sign below prior to the Record's Manager approval:
Employee Signature: � /� Printed Name: 11'1 i i4 an Se 1,1 Division: aiIC2. CCV'ds
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
/� 1 1 'Z L
Records Manager Signature:LLLSZ16-U-SsPrinted Name: ��1.�-Y (� t 1LL�15�1l Date Approved:
The person/people responsibl for estruction of records must sign upon destruction/�Y gerfkile-a09 oftthhe listedreccoordss:
Date Records
Employee Signature: Printed Name: /` Destroyed:
Vendor Business Name(if used): L ,4! 5/ieEdA04'6, Phone: i/4 — �1I— 0l
Vendor Signature: 7-4' 417
Printed Name: 4,4 i1 671-71-441-17 Date Records Destroyed: / —Z y
The retention and dispositi 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