HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Human Resources; 2006-03-24RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 5
Department Requesting Destruction: Human Resources
Approvals for Destruction
Date
Records Manager Date
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.
Person(s) Completing Form: (/ LS
Jan Murray
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
RECORDS DESCRIPTION
Police Sergeant Promo. Job applications of
unsuccessful applicants and recruitment materials.
Police Lieutenant Promo. Job applications of
unsuccessful applicants and recruitment materials.
Street Maint. Woker I. Job applications of
unsuccessful applicants and recruitment materials.
PW Supervisor General Services. Job applications
of unsuccessful applicants and recruitment
materials.
Management Asst. Engineering. Job applications
of unsuccessful applicants and recruitment
materials.
Sanitation Systems Operator I. Job applications of
unsuccessful applicants and recruitment materials.
Asst. Planning Director. Job applications of
unsuccessful applicants and recruitment materials.
Management Intern. Job applications of
unsuccessful applicants and recruitment materials.
Street Maint. Worker III. Job applications of
unsuccessful applicants and recruitment materials.
Maintenance Worker I. Job applications of
unsuccessful applicants and recruitment materials.
Special District Tax Assessment Specialist. Job
applications of unsuccessful applicants and
recruitment materials.
Human Resources Director. Job applications of
unsuccessful applicants and recruitment materials.
Recreation Assistant. Job applications of
unsuccessful applicants and recruitment materials.
DATED
7/2002
5/2002
5/2002
4/2002
3/2002
2/2002
11/2002
1/2001
8/2001
8/2001
5/1994
5/1994
5/1994
BOX
No.
28
28
28
28
28
28
28
47
47
47
44
44
44
RRS No.
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
RRS
Period
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
BARCODE APPROVED By
City Attorney
H=HOLO
77)/s form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
City Clerk/Records Management
Page 2 of 5
Person(s) Completing Form:
Jan Murray
No.
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
RECORDS DESCRIPTION
Accounting Tech. Job applications of unsuccessful
applicants and recruitment materials.
Maintenance Tech. Job applications of
unsuccessful applicants and recruitment materials.
Senior Police Officer. Job applications of
unsuccessful applicants and recruitment materials.
Police Officer Adademy Grad./ Lateral. Job
applications of unsuccessful applicants and
recruitment materials.
Park Planner. Job applications of unsuccessful
applicants and recruitment materials.
Deputy City Attorney. Job applications of
unsuccessful applicants and recruitment materials.
Human Resources Manager. Job applications of
unsuccessful applicants and recruitment materials.
Lead Com OP. Job applications of unsuccessful
applicants and recruitment materials.
Associate Eng. Traffic. Job applications of
unsuccessful applicants and recruitment materials.
Fire Bat. Chief. Job applications of unsuccessful
applicants and recruitment materials.
Fire Captain. Job applications of unsuccessful
applicants and recruitment materials.
Police Officer Recruit. Job applications of
unsuccessful applicants and recruitment materials.
Librarian I/I I Applicant Data Collection Forms
Librarian I/I I. Job applications of unsuccessful
applicants and recruitment materials.
Police Officer Recruit. Job applications of
unsuccessful applicants and recruitment materials.
Police Officer Recruit. Job applications of
unsuccessful applicants and recruitment materials.
Community Arts Coordinator. Job applications of
unsuccessful applicants and recruitment materials.
Equip. Service Worker. Job applications of
unsuccessful applicants and recruitment materials.
Paramedic/Firefighter Job applications of
unsuccessful applicants and recruitment materials.
Senior Civil Engineer. Job applications of
unsuccessful applicants and recruitment materials.
Community Development Director . Job
applications of unsuccessful applicants and
recruitment materials.
Accountant. Applicant Data Collection Forms
Accountant. Tests, Job applications of
unsuccessful applicants and recruitment materials.
Com Op II Applicant Data Collection Forms
DATED
4/1994
7/1994
1/2001
10/2001
11/2001
12/2001
12/2001
12/2001
1-2002
3-2002
3/2002
4/2002
4/2002
5/2002
5/2002
5/2002
9/2001
10/2001
10/2001
10/2001
12/2001
1/2002
2/2002
5/2002
BOX
No.
44
44
31
31
31
31
31
31
31
31
31
31
31
31
31
31
32
32
32
32
32
32
32
32
RRS No.
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
RRS
Period
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
BARCODE APPROVED By
City Attorney
H=HOLD
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
City Clerk/Records Management
Page 5 of 5
RECORD DESTRUCTION COMPLETED BY ; <^ ^ (-< CX ' ^C^ DATE :
CERTIFICATE OF DESTRUCTION? Yesfaj) No D ,i
SMEADLINK BARCODES DELETED BY: *^l ft DATE:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 5
Department Requesting Destruction: Human Resources
ApproXals for Destruction/ ( rLui \^-2A
Department Head Date
Records Manager Date
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.
Person(s) Completing Form:
Jan Murray
No.
1
2
3
4
5
6
7
8
g
10
11
12
13
14
RECORDS DESCRIPTION
Paramedic Firefighter. Job applications of
unsuccessful applicants and recruitment materials.
Accounting Supervisor. Job applications of
unsuccessful applicants and recruitment materials.
Pol. Acad. Grad. / Laterals. Job applications of
unsuccessful applicants and recruitment materials.
Fire Engineer. Job applications of unsuccessful
applicants and recruitment materials.
Communications Operator. Job applications of
unsuccessful applicants and recruitment materials
Pol. Acad. Grads. / Laterals. Job applications of
unsuccessful applicants and recruitment materials.
(PT) Fire Dept. Inspector. Job applications of
unsuccessful applicants and recruitment materials.
Police Recruits. Job applications of unsuccessful
applicants and recruitment materials.
Communications Op. II. Job applications of
unsuccessful applicants and recruitment materials.
Accounting Assistant. Job applications of
unsuccessful applicants and recruitment materials
Deputy City Attorney. Job applications of
unsuccessful applicants and recruitment materials.
H. R. Manager. Job applications of unsuccessful
applicants and recruitment materials.
Human Resources Manager. Job applications of
unsuccessful applicants and recruitment materials
Meter Services Worker. Job applications of
unsuccessful applicants and recruitment materials.
DATED
2/2001
4/2001
2/2001
2/2001
5/2001
6/2001
6/2001
8/2001
4/2001
5/2001
11/2001
7/2001
11/2001
11/2001
BOX
No.
1393
1393
1393
1393
1393
1393
1393
1393.
1394
1394
1394
1394
1394
1394
RRS No.
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
RRS
Period
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
BARCODE APPROVED By
City Attorney
H=HOLD
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
City Clerk/Records Management
Page 2 of 5
Person(s) Completing Form:
Jan Murray
No.
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
RECORDS DESCRIPTION
Planning Technician I. Job applications of
unsuccessful applicants and recruitment materials.
Associate Planner. Job applications of
unsuccessful applicants and recruitment materials.
Bus. Sys. Specialist. Job applications of
unsuccessful applicants and recruitment materials.
Env. Spec. (Sr. & I, II). Job applications of
unsuccessful applicants and recruitment materials.
Associate Planner. Job applications of
unsuccessful applicants and recruitment materials.
Human Resources Manager. Job applications of
unsuccessful applicants and recruitment materials.
Planning Technician I. Job applications of
unsuccessful applicants and recruitment materials.
Bus. Systems Specialist. Job applications of
unsuccessful applicants and recruitment materials.
Meter Services Worker I. Job applications of
unsuccessful applicants and recruitment materials.
Office Specialist II. Job applications of
unsuccessful applicants and recruitment materials.
Principal Planner. Job applications of unsuccessful
applicants and recruitment materials.
Pol. Rec. Specialist I / II. Job applications of
unsuccessful applicants and recruitment materials.
Code Enf. Officer I. Job applications of
unsuccessful applicants and recruitment materials.
Utility Worker I / II. Job applications of
unsuccessful applicants and recruitment materials.
Librarian I / II. Job applications of unsuccessful
applicants and recruitment materials.
Office Specialist II. Job applications of
unsuccessful applicants and recruitment materials.
Sr.Off.Spec./Off.Spec. II. Job applications of
unsuccessful applicants and recruitment materials.
Tree Trmr. I/Lead Worker. Job applications of
unsuccessful applicants and recruitment materials.
Senior Librarian. Job applications of unsuccessful
applicants and recruitment materials.
Engineering Technician II. Job applications of
unsuccessful applicants and recruitment materials.
Deputy Fire Marshall. Job applications of
unsuccessful applicants and recruitment materials.
Management Analyst. Job applications of
unsuccessful applicants and recruitment materials.
Office Specialist I. Job applications of
unsuccessful applicants and recruitment materials.
Associate Engineer. Job applications of
unsuccessful applicants and recruitment materials.
Associate Engineer-Traffic. Job applications of
unsuccessful applicants and recruitment materials.
DATED
12/2001
12/2001
11/2001
10/2001
12/2001
12/2001
12/2001
11/2001
10/2001
12/2001
7/2001
6/2001
3/2001
5/2001
5/2001
7/2001
2/2001
2/2001
2/2001
7/2001
11/2001
12/2001
11/2001
10/2001
12/2001
BOX
No.
1394-
1397
1397
1397
1397
1397
1397
1397
1397
1397,
1399
1399
1399
1399
1399
1399
1399
1399
1399
1399.
1400.
1397
1397
1397
1397
RRS No.
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
RRS
Period
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
BARCODE APPROVED By
City Attorney
H=HOLD
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
City Clerk/Records Management
Page 3 of 5
Person(s) Completing Form:
Jan Murray
No.
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
RECORDS DESCRIPTION
Paramedic/Firefighter. Job applications of
unsuccessful applicants and recruitment materials.
Police Recruit. Job applications of unsuccessful
applicants and recruitment materials.
Senior Librarian. Job applications of unsuccessful
applicants and recruitment materials.
Senior Police Officer. Job applications of
unsuccessful applicants and recruitment materials.
Tree Trimmer I. Job applications of unsuccessful
applicants and recruitment materials.
Tree Trmr. Leadworker. Job applications of
unsuccessful applicants and recruitment materials.
Utility Worker I / II. Job applications of
unsuccessful applicants and recruitment materials.
Lateral Police Officer. Job applications of
unsuccessful applicants and recruitment materials.
Account Clerk II. Job applications of unsuccessful
applicants and recruitment materials.
Management Analyst. Job applications of
unsuccessful applicants and recruitment materials.
Rec. Sup. Promo. Job applications of
unsuccessful applicants and recruitment materials.
Engineering Tech. II. Job applications of
unsuccessful applicants and recruitment materials.
Senior Planner. Job applications of unsuccessful
applicants and recruitment materials.
Assoc. Plnr. & Asst.Plnr. Job applications of
unsuccessful applicants and recruitment materials.
P.T. Off. Asst.-HR. Job applications of
unsuccessful applicants and recruitment materials.
PT Recruiter. Job applications of unsuccessful
applicants and recruitment materials.
Circulation Supervisor. Job applications of
unsuccessful applicants and recruitment materials.
Management Analyst. Job applications of
unsuccessful applicants and recruitment materials.
Management Analyst. Job applications of
unsuccessful applicants and recruitment materials.
Management Analyst. Job applications of
unsuccessful applicants and recruitment materials.
Management Analyst. Job applications of
unsuccessful applicants and recruitment materials.
Accounting Supervisor. Job applications of
unsuccessful applicants and recruitment materials.
Administrative Sec. Job applications of
unsuccessful applicants and recruitment materials.
Circulation Supervisor. Job applications of
unsuccessful applicants and recruitment materials.
Code Enf. Officer I. Job applications of
unsuccessful applicants and recruitment materials.
DATED
3/2001
2/2001
2/2001
1/2001
2/2001
2/2001
5/2001
2/2001
10/2001
10/2001
10/2001
8/2001
7/2001
7/2001
8/2001
8/2001
1/2001
8/2001
8/2001
8/2001
8/2001
4/2001
5/2001
1/2001
3/2001
BOX
No.
1410
1410
1410
1410
1410
1410
1410
1410
•
1400
1400
1400
1400
1400
1400
1400
1400
1410
14 13
*
1413
i4\a
I4\a
1410
1410
1410
1410
RRS No.
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
RRS
Period
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
BARCODE APPROVED By
City Attorney
H=HOLD
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
City Clerk/Records Management
Page 4 of 5
Person(s) Completing Form:
Jan Murray
No.
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79.
80.
81.
82.
83.
84.
85.
86.
87.
RECORDS DESCRIPTION
Communications Op. II. Job applications of
unsuccessful applicants and recruitment materials.
Env. Programs Mgr. Job applications of
unsuccessful applicants and recruitment materials.
Fire Engineer. Job applications of unsuccessful
applicants and recruitment materials.
Librarian I / II. Job applications of unsuccessful
applicants and recruitment materials.
Community Services Off. I. Job applications of
unsuccessful applicants and recruitment materials.
Recreation Supervisor I. Job applications of
unsuccessful applicants and recruitment materials.
Senior Office Specialist. Job applications of
unsuccessful applicants and recruitment materials.
Office Specialist II. Job applications of
unsuccessful applicants and recruitment materials.
Secretary. Job applications of unsuccessful
applicants and recruitment materials.
Secretary-PW. Job applications of unsuccessful
applicants and recruitment materials.
Management Analyst. Job applications of
unsuccessful applicants and recruitment materials.
Management Analyst. Job applications of
unsuccessful applicants and recruitment materials
Management Analyst. Job applications of
unsuccessful applicants and recruitment materials
Management Analyst. Job applications of
unsuccessful applicants and recruitment materials
Fire Marshal. Job applications of unsuccessful
applicants and recruitment materials.
Communications Operator I/I I. Job applications of
unsuccessful applicants and recruitment materials.
Police Officer. Job applications of unsuccessful
applicants and recruitment materials.
Paramedic/Firefighter. Job applications of
unsuccessful applicants and recruitment materials.
Management Assistant. Job applications of
unsuccessful applicants and recruitment materials.
Management Analyst Finance. Job applications of
unsuccessful applicants and recruitment materials.
Police Communications Manager. Job
applications of unsuccessful applicants and
recruitment materials.
Accounting Supervisor. Job applications of
unsuccessful applicants and recruitment materials.
Senior Police Officer Promo. Job applications of
unsuccessful applicants and recruitment materials.
DATED
5/2001
1/2001
3/2001
5/2001
4/2002
2/2002
2/2002
2/2002
4/2002
4/2002
8/2001
8/2001
8/2001
8/2001
8/2002
12/2002
9/2002
11/2002
9/2002
11/2002
9/2002
9/2002
10/2002
BOX
No.
1410
1410
1410
1410
1395
1395
1395
1395
1395
1395
1412
1412
1412
1412
50
50
50
50-
50
28.
28
28
28
RRS No.
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
0850-25
RRS
Period
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
CL+3
BARCODE APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY:DATE
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
City Clerk/Records Management
Page 5 of 5
-CERTIFICATE OF DESTRUCTION? Yes m. No
SMEADLEVK BARCODES DELETED BY; - _ DATE:
,
A-y/T
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: Human Resources
Anrfrbvals for DestructionLlL
Department Head Date
Records Manager Date
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.
IS 0x
Person(s) Completing Form:
Jan Murray
No.
4-
2
3
4
5
6
7
RECORDS DESCRIPTION
-PtrtfTlme Inaotivc Pcroonnol Filoc A Z 1tW
Full Time Inactive Personnel Files A-Z 1990-1995
Part Time Inactive Personnel Files A-H 1998-00
Part Time Inactive Personnel Files I-R 1998-00
Part Time Inactive Personnel Files S-Z 1998-00
2001 I-9 Terminations
2002 I-9 Terminations
DATED
-4*64
1990-
1995
1998-
2000
1998-
2000
1998-
2000
2001
2002
BOX
No.
— 12 —
27
28
29
30
-42-
2*42s>-*
RRS No.
-4)81046
081040
081025
081025
081025
0810-20
0810-20
RRS
Period
T£+10
-n= +5
Tif +5
-TE+5
TE+3
TE+3
BARCODE APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY :
CERTIFICATE OF DESTRUCTION? Ye^Q No
SMEADLINK BARCODES DELETED BY:
DATE:
DATE:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
WE RECYCLE
P O BGK 2Q77
ViSty, CA920852Q77
PHONE 76Q-598-57QO
SERVICE I.OCATiON:BILLED TO:
City Of Cartsbad
f 200 C^rfsbad Wfage Or
C«y Ha!! , ^
Carlsbad, CA 92008^
-GER'flHCATt. RtfESS TO iNVOJCl NO.:
Q9IQ139Q51
DATE.- 3/24/2006
PURGE.
UVE INVOICE
FORWARD TO ACCOUNTING
PROCESS PAYMENT IMMEDIATELY
This is to certify that Shred-it destroyed confidential information
on-site for the above mentioned company by
2.M TRUCK NO.:
This year your firm's share of wood
saved through Shred-it's recycling program
amounts to „ trees.
CERTIFICATE OF
DESTRUCTION
THANK YOU FOR
YOURBUSINESS.
RIfj
SECURIT