HomeMy WebLinkAboutDispositions Forms_05-15_1/20/2015_Human ResourcesRevised: 12/20/11
RECORDS DISPOSITION DOCUMENT
NO.�
PAGE OF 1 PAGES
1.AGENCY
Village of Tequesta
2.DEPARTMENT
Human Resources
3.BUREAU
N/A
4. ADDRESS (Street, City, and Zip Code)
5. CONTACT (Name and Telephone Number)
345 Tequesta Drive
Lori McWilliams, MMC
Tequesta, FL 33469
561-768-0443
6. SUBMITTED BY: I hereby certify that the records to be disposed of are
7. NOTICE OF INTENTION
correctly represented below, that any audit requirements for the records
have been fully justified, and that further retention is not required for any
The scheduled records listed in Item 8 are to be disposed of in the
litigation pending or imminent.
manner checked below (specify only one):
XL___]a. Destruction Ll b. Microfilming and Destruction
Signature Date
1
14F �J
✓� a.1 Shred El a.2 Recycle
c. Imaging and Destruction
d. Other
Name and Title Merlene Reid, HR Director
8. LIST OF RECORD SERIES
a.
Schedule
Item
b.
Item
No.
C.
Title
d.
Retention
e.
Inclusive
Dates
f.
Volume
in
Cubic
Feet
g.
Disposition
Action and Date
Completed After
Authorization
GS 1-S L
24
EMPLOYMENT APPLICATION & SELECTION RECORDS
4 Anniversary Ym
1990S-2003, 2008-2010
5.0
9. DISPOSAL AUTHORIZATION: Disposal for the above listed records
authorized. Any deletions or modifications are indicated
Signature: n ��� Date: ' :�
10. DISPOSAL CERTIFICATE The above listed records have been
disposed of in the manner and on the date shown in column g.
(Witness to the Records Disposition)
Signature: Date: /042
Print Name: Loris McWilliams
Print Name:
Print Title: Village Clerk
Print Title:
NOTE: Upon disposition retain this form for your records