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Agency Schedule Detail

Authorization Number :  17601126
Agency Series No. :  HRM-9
Status :  Active
Agency Web Link : 
Agency :  DHS
Confidential Description : 
Division :  DHSADMN
Vital Description : 
Section :  DHSADMNB021
Record Title :  Authorization to Obtain and Release Information
Revision :  0
Record Description :  This document authorizes an agent or representative of the Ohio Department of Public Safety to obtain any information pertaining to education, work, attendance, and/or disciplinary records from any of the references that are listed on the form. The form is completed by applicant when applying for employment. After completion of interview and employee selection, the form is retained in the application for employment bid folder and scheduled separately.
Retention Period Retention Justification Media Code Method of Disposal
Retain for one year then pull for destruction. Paper Shred

Approvals

Status Name Title Date
Approved Sabrina Straight Records Officer 5/8/2003 4:17:00 PM
Approved Michael Hardenbrook Record Administrator 5/19/2003 9:15:00 AM
Approved Charles Arp State Archivist 5/22/2003 9:19:00 AM
Approved Martin Meeks State Auditor 5/22/2003 9:19:00 AM

Notes

Date Reason User

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© 2025 - RIMS, State of Ohio