HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Police; 2023-01-11 (2)~ ITFW
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: DECEMBER 1, 2022
REQUESTING DEPARTMENT: POLICE REQUESTER: HEATHER HUTCHINSON
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.
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
ELECTRONIC FILES-
NON-HIRED
Blatt, Jonathan 11-19°19 PD-360 3 YEARS
Gordanier, Jacqueline 12-10-19 PD-360 3 YEARS
Miller, Ian 12-10-19 PD-360 3 YEARS
Vaca, Yvette 12-10-19 PD-360 3 YEARS
Kingrey, Mitchell 12-18-19 PD-360 3 YEARS
*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:
CERTIFICATE OF DESTRUCTION?
TAB BARCODES DELETED BY:
e,,,."Ol?lt Lt£ mPt IF 12.5/t. 0 YES [j NO n.ttneMJt(.; ':lliS IAJtY
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DATE: l-u-Jo~
DATE: ------
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
{City of
Carlsbad Revised: 2021
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