HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2017-12-31RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: DECEMBER 6, 2017
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REQUESTING
DEPARTMENT: POLICE REQUESTER: ~ LT. PETE PASCUAL
DESTRUCTION APPROVALS:
We certify that the records listed below have been retained for the scheduled retention period, required audits have been
completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
7'!~--r:J---+-----++-_Pi~~Y~L _
DEPARTMENT HEAD: ~~DS MANAGEMENT: CITY ATTORNEY:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
1 Employee Grievance #15-01 / 11/23/15 0670-11 CL+2
2 IA Case 12-06 / 8/22/12 0670-10 CL+5
3 IA Case 12-18 ,/ 5/4/12 0670-10 CL+5
4 IA Case 12-24 / 8/28/12 0670-10 CL+5
5 IA Case 12-29 v 9/20/12 0670-10 CL+5
6 IA Case 12-30 / 12/10/12 0670-10 CL+5
7 IA Case 12-35 ---11/8/12 0670-10 CL+5
8 IA Case 12-36 -------11/20/12 0670-10 CL+5
9 IA Case 12-42 .,,,--11/2/12 0670-10 CL+5
10 IA Case 12-44 ./ 11/30/12 0670-10 CL+5
11 IA Case 12-45 / 12/21/17 0670-10 CL+5
12 Personnel File for P. Mann / 7/26/07 0810-40 TE+10
13 Personnel File for P. Burke / 8/18/07 0810-40 TE+10
14 Personnel File for K. Wilson ./ 10/10/07 0810-40 TE+10
15 Personnel File for D. Douglas Y" 10/12/07 0810-40 TE+10
16 Personnel File for B. Felt v 11/25/07 0810-40 TE+10
<~) CIT'( Of
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
w CARLSBAD Revised: 12/6/2017
Personnel File for S. Delellis / 0810-40 TE+10 17 12/18/07
18 Personnel File for P. Wehling ..,/ 12/28/07 0810-40 TE+10
19 Personnel File for L. Moore ........ 12/30/07 0810-40 TE+10
*If more spaces are needed, click in the last box in right hand corner of table and hit "tab". This will create more fields in the table.
To be filled out once records have been destroyed. ~
RECORD DESTRUCTION COMPLETED BY: _f-"-1+-----r-------
CERTIFICATE OF DESTRUCTION? ~
SMEADSOFT BARCODES DELETED BY: ___________ _
DATE:
DATE:~----~
((~) CITY Of
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
~ CARLSBAD Revised:12/6/2017