HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Human Resources; 2010-02-19RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: HUMAN RESOURCES
Approvals for Destruction
-If.
Department Head Date
Ud^RecordsManager Date
Attorney
Jl-
Date
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.
'RECORDS ON THIS FORM ARE FROM THE OFFSITE MICROFICHE INVENTORY STORED WITH THE CLERK'S OFFICE
Person(s) Completing Form: /\1
Tanya Bjork fi
No.
1
2
3
4
5
RECORDS DESCRIPTION
WORKER'S COMPENSATION REPORTS
WORKER'S COMPENSATION STATISTICAL
REPORTS
WORKER'S COMPENSATION - FLEMING
ASSOCIATION LOSS EXPERIENCE PRINTOUT
REPORTS
WORKER'S COMPENSATION - STATE
COMPENSATION FUND ACCIDENT
PREVENTION AND EXPERIENCE PRINTOUT
REPORTS
INACTIVE PERSONNEL FILES
DATED
1984-
1993
1993-
1994
1981-
1983
1961-
1980
1956-
1985
BOX
No.
RM20
09MF
<r
RRS No.
0810-70
0810-70
0810-70
0810-70
0810-40
RRS
Period
CU+5
CU+5
CU+5
CU+5
TE+10
BARCODE
N/A
N/A
N/A
N/A
N/A
APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY :_
CERTIFICATE OF DESTRUCTION? Yes ^f No D
SMEADLINK BARCODES DELETED BY:
,- v V DATE:
DATE:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
WE RECYCLE Shred-It
Carnpo Enterprises Inc.. P. O Box 2Q77
Vista, CA 920052077
PHONE 76Q-598-57QQ
Q9t0473261
2/19/2010
PURGE
City Of Carlsbad Records Management
5815 BCamino Real
**NO SUK-CHARGE
Carlsbad CA 92008
LIVE INVOICE
FORWARD TO ACCOUNTING
PROCESS PAYMENT IMMEDIATELY
**Np SuR-CHARGE.
This is to certify that Shred-it destroyed confidential information
for the above mentioned company by
This year, through Shred-it's
recycling program, your firm
has saved trees from destruction.
CERTIFICATE OF
DESTRUCTION
THANK YOU FOR
YOUR BUSINESS.
SECURING YOUR OFFICE
AND THE ENVIRONMENT
ihred-it
A SECURIT COMPANY