HomeMy WebLinkAboutDispositions Forms_17-21_3/9/2021_Human ResourcesNO. 17-21
RECORDS DISPOSITION DOCUMENT
PAGE 1 OF 1 PAGES
1. AGENCY NAME and ADDRESS
2. AGENCY CONTACT (Name and Telephone
VILLAGE OF TEQUESTA
Number)
345 Tequesta Drive
Lori McWilliams, MMC
Tequesta, FL 33469
(561) 768-0443
3. NOTICE OF INTENTION: The scheduled records listed in Item 5 are to be disposed of in the manner specified
below (specify only one).
a. Shred at Department Level 0 c. Send to Storage until U e. Recycle
Disposition Date Met
b. Send to Storage for Shredding 0 d. Removed from Server f. Other
4. SUBMITTED BY:
I hereby certify that the records to be disposed of are correctly represented below, that any audit requirements for the
records have been fully justified, and that further retention is not required for any litigation pending or imminent.
AC Lori McWilliams 03/19/21
Signature Name and Title (Senior Staff only) Date
6. LIST OF RECORD SERIES'
After the Item # I�, 00 "a" for record co or "b" for du'' licate
a.
b.
C.
d.
e.
f.
g.
Schedule
Item
Title
Retention
Inclusive
Volume
Disposition
No.
No.
Dates
in
Action and
Insert "a"
Cubic
Date
or „b„
Feet
Completed
after item
After
# (247b)
Authorization
GS 1-SL
66
PERSONNEL RECORDS: OPSNOLUNTEER/INTERN/TEMPORARY
EMPLOYMENT - OATHS OF OFFICE (FORMER COUNCIL
3 FY
1979 - 9/2013
FA�
MEMBERS & COMMITTEE MEMBERS)
.025
w/
TOTAL CUBIC FEET THIS PAGE:
6. DISPOSAL AUTHORIZATION: Disposal for
7. DISPOSAL CERTIFICATE: The above listed records have been
the above listed records is authorized. Any
isposed of in the manner and on the date shown in column g.
eletions or modifications are indicated.
JYJY4- Z 03/19/21
41l " Lori McWilliams 03/19/21
Records Liaison Officer Signature Date
Signature Name/Title Date
Routin
1 "Originates..with Department Senior Manager, then
1. Originates with Department Senior Manager, then "°,
21 Village Clerk's Office authorizes disposition, and returns to
2_ Village Clerk's Office authorizes disposition and/or s ttt�ge
I Originating department to dispose and document column g,
at the storage room and will contact Public Works to remove
then sends
records
4. Completed form to Village Clerk's Office for permanent
3. Clerk's Office will be responsible for final disposition of
archival
records at this point Form Updated: 4/11/18, 1/26/21
rro R
%",.