EDIT APPLICATION FOR RECORDS RETENTION SCHEDULE PART2

EDIT APPLICATION FOR RECORDS RETENTION SCHEDULE-Part 2

Schedule Number:

11. Retention Rquirements The following requires the series to be kept for(5 Years):

A. State Law:	E. Audit Period:
B. City Code	F. Administrative Need
C. Statue of Limitation	G. Federal Instructions
D. Federal Law	H. Historical Value
ATTACH COPY OR EXCERPT OF LAWS OR REGULATIONS. EXPLAIN ADMINISTRATIVE NEED WHICH EXCEEDS 3 YEARS.

12. Approved Disposition
Instructions

This agency recommends that the file series be cut off at the end of each Answer Yes/No
Calendar_Year; Fiscal Year; Other then

Hold in the current files area month(s) ; year(s)

Transfer to local area; hold year(s) then

Transfer to Municipal Records Center; hold year(s) then

Destroy

Transfer to for permanent retention.

Attached File:OptiScan (attach additional sheet if necessary) Use Advanced Edit to Attach Document.

Agency Head:

Date:

Agency Records Officer:

Date:

RECORDS ADMINISTRATION COMMITTEE

THIS RECORD SERIES HAS BEEN
EVALUATED FOR LEGAL, FISCAL,
ADMINISTRATIVE AND HISTORICAL
RETENTION REQUIREMENTS,
AND THE RECOMMENDATIONS IN
PARAGRAPH 12 ARE APPROVED

	NAMES/SIGNATURES	Date
MAYOR/DESIGNEE
MUNICIPAL CLERK/DESIGNEE
CHIEF FINANANCIAL OFFICER
CITY ATTORNEY/DESIGNEE
CHIEF INFORMATION OFFICER

Recommendations in paragraph 12 are approved.
(if disapproved, attach letter of explanation.)

	State Records Committee	Date
State Auditor/Designee
Secretary of State/Designee
Attorney General/Designee