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Agency Schedule Detail

Authorization Number :  100-0755
Agency Series No. :  DIS-01
Status :  Active
Agency Web Link : 
Agency :  DAS
Confidential Description :  Contains information protected by HIPPA
Division :  DAS0400
Vital Description : 
Section :  DAS04000403
Record Title :  Disability Claims
Revision :  2
Record Description :  This series contains: Applications for Disability Benefits (ADM-4310), Employee Statements and Physicians Statements, Appointing Authority Statement (ADM-4312) and correspondence to the employee. Specific Cases may also include Supplemental Reports (ADM-4311), Wage Agreement and Illness Report (ADM-4303), and copies of checks, medical evidence reports, hearing files, miscellaneous correspondence from agency, physician or employee, copies of Position Descriptions (ADM-4107), photos and X-Rays.
Retention Period Retention Justification Media Code Method of Disposal
Retain in operating system for 7 years after no activity on the claim, then delete. Information is maintained for litigation purposes and federal record keeping requirements. Electronic Delete
Retain in office area for 7 years after no activity on the claims, then destroy. Information is maintained for litigation purposes and federal record keeping requirements. Paper Shred

Approvals

Status Name Title Date
Approved Jane Kuzma Records Officer 8/6/2021 9:07:33 AM
Approved Terri Dittmar Record Administrator 8/10/2021 10:12:46 AM
Approved Fred Previts State Archivist 8/10/2021 11:37:45 AM
Approved Martin Meeks State Auditor 8/10/2021 1:31:07 PM

Notes

Date Reason User

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