HomeMy WebLinkAboutDisposition Forms_02-10_03/27/2010 RECORDS DISPOSITION DOCUMENT NO.
Revised 11/9/07 PAGE OF 1 PAGES
1.AGENCY 2. DEPARTMENT 3. BUREAU
Village of Tequesta N/A
4. ADDRESS (Street, City, and Zip Code) 5. CONTACT (Name and Telephone Number)
345 Tequesta Drive Lori McWilliams, CIVIC
Tequesta, FL 33469 561- 575 -6200 ext. 244
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):
Signature Date Destruction b. Microfilming �a 0 9 and Destr
P// 0 a.1 Shred 0 a.2 Recycle
0 c. Imaging and Destruction
Name and Title = d. Other
8. LIST OF RECORD SERIES
a. b. C. d. e. f. g.
Schedule Item Title Retention Inclusive Volume Disposition
Item No. Dates in Action and Date
Cubic Completed After
Feet Authorization
236 Code Enforcement Hearing Case Files 5 March 1998 4.2 3 r (fp
Anniversary February 2005
GS1 Years ,SN
9. DISPOSAL AUTHORIZATION: Disposal for the above listed records 10. DISPOSAL CERTIFICATE The above listed records have been
authorized. Any deletions or modifications are indicated disposed of in the manner and on the date shown in column g.
(Witness to the Records Di
Signature: 0� /i, Date: � / `(� Signature: Date: 0.74
Print Name: Lori McWilliams (X � Print Name: ' iWc�" C-b 6 kn
Print Title: Village Clerk Print Title:
NOTE: Upon disposition retain this form for Your records
FLORIDA DEPARTMENT OF STATE
GENERAL SCHEDULE FOR STATE AND LOCAL GOVERNMENT AGENCIES GS1 -SL
design, planning, or construction of an improvement to real property. See also "CERTIFICATE OF OCCUPANCY:
COMMERCIAL."
RETENTION:
a) Record copy. 10 anniversary years after issuance of certificate of occupancy.
b) Duplicates. Retain until obsolete, superseded, or administrative value is lost.
CHARTERS / AMENDMENTS /BYLAWS /CONSTITUTIONS Item #207
This record series consists of foundation documents establishing an organization and its mission, functions, duties and
responsibilities, and organizational structure. See also "ORDINANCES," "PROCLAMATIONS," and "RESOLUTIONS." These
records may have archival value.
RETENTION:
a) Record copy. Permanent.
b) Duplicates. Retain until obsolete, superseded, or administrative value is lost.
CHILD CARE RECORDS Item #257
This record series consists of information on the children enrolled in a child care facility, including, but not limited to, information
and forms required by law such as the child's legal name, birth date, and preferred nicknames; parents' names, addresses, and
telephone numbers; names of persons allowed to remove child from the facility; physical identification; emergency information;
physician information; facility brochure statements; disciplinary procedure statements; procedures for a handicapped child as
applicable; enrollment forms; immunization record exemption forms; and health forms. Refer to Florida Statutes, sections
1003.22 regarding school -entry health examinations and immunization against communicable diseases; and 1003.23 regarding
attendance records and reports.
RETENTION:
a) Record copy. 5 calendar years after termination of enrollment.
b) Duplicates. Retain until obsolete, superseded, or administrative value is lost.
CLIENT CASE FILES: HUMAN /SOCIAL SERVICES Item #275
This record series consists of the client case files for citizens receiving assistance from a county or city social services agency.
The series may pertain to, but is not limited to, low cost energy assistance programs; emergency payments for electricity,
medicine, medical care, food, or rent; and referrals to a doctor or social services organization. The series may also include claim
documentation and copies of monthly, quarterly, and /or annual reports which are submitted by the local government agency to
the Agency for Health Care Administration as provided by ss. 154.301- 154.331, F.S., Health Care Responsibility For Indigents;
and Chapter 59H -1, F.A.C., Florida Health Care Indigency Eligibility Certification Standards.
RETENTION:
a) Record copy. 5 fiscal years provided applicable audits have been released.
b) Duplicates. Retain until obsolete, superseded, or administrative value is lost.
CLIENT CASE FILES: VETERAN SERVICES Item #310
This record series consists of case files relating to veterans receiving various types of assistance, including but not limited to,
copies of the following documents: proof of military service; applications for various Veteran Administration (VA) benefits;
marriage, death, divorce, and birth certificates; incoming and outgoing correspondence relating to the development and status of
claims; change of address forms and all other VA forms which are used in development of claims for VA benefits. The originals
of all of these documents are forwarded to the Veterans Administration for processing. The series may also include a client case
file index providing such information as name, social security number, employment data, other sources of income, death records,
and additional notes on pending claims.
RETENTION:
a) Record copy. 5 fiscal years after case closed provided applicable audits have been released.
b) Duplicates. Retain until obsolete, superseded, or administrative value is lost.
[a) DE ENFORCEMENT HEARING CASE FILES Item #236
record series consists of case files documenting code violation hearings before the Code Enforcement Board or a Special
ter, including affidavits, exhibits, letters, photographs, orders, and any supporting documentation and working papers relating
e case. Refer to Chapter 162, F.S., County Or Municipal Code Enforcement. See also "CODE VIOLATION RECORDS" and
NUTES: OFFICIAL MEETINGS."
ENTION
ecord copy. 5 anniversary years after case is closed.
uplicates. Retain until obsolete, superseded, or administrative value is lost.
CODE VIOLATION RECORDS Item #237
This record series consists of documentation of code enforcement activities in response to code violations prior to a citation
being issued. Records may include, but are not limited to, evidence of verbal or written warnings, photographs, on -site
inspection notes, copies of the first and second violation notices, and orders to appear. If a citation is issued and the process
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