HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Human Resources; 2018-02-20}N
}
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 1/4/2018
REQUESTING DEPARTMENT: HUMAN RESOURCES REQUESTER: Kl M STAN KAVICH
DESTRUCTION APPROVALS:
We certify that the records listed below have been retain ed for the scheduled retention period, required audits have been wmp:W,: o, ongo;ng J;hg oh~=he,e ,ew,d, ;, kn;;;) L
DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATIORNEY:
RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE BOX NO. PERIOD (if applicable)
v> I 12 FULL-TIME EMPLOYEE PERSONNEL 2007 0810-40 TE+10 FILES A-K
1// 13 FULL-TIME EMPLOYEE PERSONNEL 2007 0810-40 TEtlO FILES L-Z
*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: &rtJ~
CERTIFICATE OF DESTRUCTION? ~YES D NO
SMEADSOFT BARCODES DELETED BY:..._, -------~----
DATE:
DATE:~~~~~~-
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
<<,'>' c,n Of Revised: 1/8/2018 ~ CARLSBAD
CERTIFICATE OF DESTRUCTION & RECYCLING
This certificate is presented to: CITY OF CARLSBAD -RECORDS MANAGEMENT DIVISION
Per the express request of Client, Corodata has received the Material referred to below and has/will destroy and then
recycle said Material in accordance with its standard procedures. As the parties have agreed, Corodata will not
inventory, record or track any information contained within or related to the Material.
Account #(s)
Certificate #
Date Issued
Service Locations
Date Range of Service
Work Ticket(s)
Quantity/Item
SD012455
107995
Wednesday, February 21, 2018
5815 EL CAMINO REAL
Feb-20-2018 thru Feb-20-2018
464963
* Nothing in this certificate shall be deemed to modify the terms of the parties' Service Agreement(s) or Work Ticket(s).
E·Jcorodata SSAE16
Type II Audit Completed HIP£