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General Schedule Detail

Authorization Number :  770-1691
Series Number :  GP-O-04
Agency :  DOT
Status :  Active
Division :  DOT0020
Agency Web Link :  http://www.dot.state.oh.us
Section :  DOT00200321
Record Title :  Employee Medical Documents
Date : 
Rejected Reason : 
Record Description :  List of document types in this record series include, but are not limited to: Accident or Illness form, American with Disabilities Act (ADA), C+84, C86, C-9, Childbirth/Adoption, DHO/SHO Orders, Disability Application, Doctor Letter for Light Duty, Family and Medical Leave Act (FMLA) documents, Hospitalization/Outpatient Surgery Certification, Independent Medical Exam (IME), Injury/Illness Report (ADM 4303), Medco-14s, Medical correspondence, Medical Records, Ohio Employee Assistance Program (EAP) Agreements, Retirement Disability Application, Return to Work, Salary Continuation Request/Extension, Statement of Psychiatric Disability-Psych Questionnaire (ADM 4316), Transitional Work Program (TWP), Workers' Compensation correspondence, letters from BWC, etc.
Retention Period Retention Justification Media Method of Disposal
Retain 7 years from effective date of employee separation. Paper Unknown
Status Name Title Date
Approved Dwight Neely Records Officer 6/23/2005 7:41:00 AM
Created Lisa Hall Records Coordinator 6/22/2005 3:33:00 PM
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© 2025 - RIMS, State of Ohio