HomeMy WebLinkAboutDispositions Forms_42-21_4/5/2021_Human ResourcesNo. YZ._ 21
RECORDS DISPOSITION DOCUMENT
PAGE 1 OF 1 PAGES
1. AGENCY NAME
2. AGENCY CONTACT (Name and Telephone
VILLAGE OF TEQUESTA
Number)
Lori McWilliams, MMC
DEPARTMENT: Human Resources
(561) 768-0443
3. NOTICE OF INTENTION: The scheduled records listed in Item 5 are to be disposed of in the manner checked
below (specify only one).
Qa. Shred O b. Imaging and Destruction O c. Recycle
Od. Removed from Server Oe. 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 full justified, and that further retention is not required for any litigation pending or imminent.
Merlene Reid
Signa ur Name and Title (Senior Staff only) Date
5. LIST OF RECORD SERIES
6.
a.
Schedule
b.
Item
c
Title
d.
Retention
e.
Inclusive
f.
Volume
g.
Disposition
No.
No.
Dates
in
Cubic
Action and
Date
Feet
Completed
After
Authorization
GS 1-S L
19b
Personnel Records: Florida Retirement System
OSA
1993-1999
.2
5 x-"
GS1—S L
162b
Personnel Records: Non -Florida Retirement System (Local Govemment)
OSA
1999-2018
.8
TOTAL CUBIC FEET THIS PAGE:
i Ip
7. DISPOSAL AUTHORIZATION: Disposal for
the above listed records is authorized. Any
8. DISPOSAL CERTIFICATE: The above and below listed records have
been disposed of in the manner and on the date shown in column g.
deletions or modifications are indicated.
itness(tto( he records disposition)
1 y
Srgnature Date
Custodian/Records Liaison Officer Date
Name and Title
Form Updated: 1/3/1i