HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2017-03-20RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 02/15/2017
~~~~~~~~~~~
REQUESTING POLICE TRAFFIC
DEPARTMENT: DIVISION
REQUESTER:
JERRY SERAFINI
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 rr>-,...,,,,-c-.;.
DEPARTMENT HEAD:
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
DUI BILLING Prior to 0670-62 5 YRS 02/15/12
*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 destroye~dtf
RECORD DESTRUCTION COMPLETED BY: ~.,,.__+-~-=.,..=~~~+->--~~
CERTIFICATE OF DESTRUCTION? YES ~ N
DATE: 0'3(1-.0(1J
<<~» " " 0 '
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management
Program.
~ CARLSBAD Revised: 2/15/2017