Agency Schedule Detail

Authorization Number : 760-0984

Agency Series No. : Z08-06

Status : Active

Agency Web Link :

Agency : DHS

Confidential Description : Personnal information such as name, social security numbers, addresses, etc., of EMTs

Division : DHSEMSV

Vital Description :

Section : DHSEMSV

Record Title : Applications for 1st Responder & EMT Certification

Revision : 0

Record Description : In accordance with ORC 4765.11 the State Board of Emergency Medical Services (via Division of EMS) issues a certificate to practice to applicants who successfully complete an approved course of instruction. The certifcate to practice allows the certificate holder to practice as a First Respondor, EMT-Basic, EMT-Intermediate, or EMT-Paramedic for a period of three years. The application includes personal information on the applicant, including home address and social security number, the level of training completed, proof of passing a state examination and verification of training from an accredited institution. Every three years the certificate holder must apply to renew for an additional three years, demonstrating compliance with renewal requirements established by the state board of EMS. Data collected from the applications is entered into a database and a certificate issued.

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain hard copy for 6 years, then destroy by shredding. Original is converted to microfiche (documents received up to 1999) or imaged (documents from 1999 to current) document which is maintained until applicant is deceased.	This provides a paper copy of application for 2 certification cycles. Past applications are used in disciplinary hearings against certificate holder and original signature of applicant is helpful in proving case.	Paper	Shred
Retained until applicant is deceased.	Records on microfiche are maintained since initial certifications issued in 1976. Applicants whose certification has expired may reinstate - proof of previous certification is required. Some records were tranferred from other state agencies who issued certifications before Div of EMS was placed by legislation in Dept of Public Safety.	Microform	Shred
Retained until applicant is deceased.	Electronic database of valid certifications and training records are needed to verify course content at the time of certification, as well as testing dates, scores, and required specialty courses.	Electronic	Delete

Approvals

Status	Name	Title	Date
Approved	Clinton Wallace	Records Coordinator	12/5/2003 1:39:00 PM
Approved	Scott George	Records Officer	9/27/2004 10:56:00 AM
Approved	Michael Hardenbrook	Record Administrator	9/27/2004 3:43:00 PM
Approved	Laurie Gemmill	State Archivist	10/18/2004 10:25:00 AM
Approved	Martin Meeks	State Auditor	10/18/2004 10:25:00 AM

Notes

Date	Reason	User