HomeMy WebLinkAboutRISK MANAGEMENT 102325City of Bremerton Public Records Destruction Log
Form Revised 05/06/2014
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
Records Series Title Records Series
DAN
Records Retention
Schedule Minimum Retention Period Description (Box/Item
numbers, volume, etc.) Dates Covered
Date
Minimum
Retention
Met
Method of
Destruction (See
examples below*)
1.15 Risk Management
/ Insurance
Insurance Policies
Purchase
GS50-06C-16
Rev. 2
Local
Government
CORE Version
5.0
Retain for 6 years after
termination or
expiration of coverage
then Destroy.
2 banker boxes 2010 - 2017 Insurance
renewal information (not the
policy)
12/31/24 Secure recycling
10/23/25.
*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: Printed Name: Melisa Vaal Folmer Division: City Attorney’s Office
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
Records Manager Signature: Printed Name: Melisa Vaal Folmer Date Approved: 10/23/25
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
Employee Signature: Printed Name: Melisa Vaal Folmer Date Records Destroyed:10/23/25
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.