Agency Schedule Detail

Authorization Number : 855-1129

Agency Series No. : Legal-90

Status : Active

Agency Web Link :

Agency : BWC

Confidential Description : Yes, Public Official’s name and address and Pending matters.

Division : BWCLAWS

Vital Description :

Section : BWCLAWSLEGL

Record Title : Dual Public Employment Form for R.C. 102.04(D) Statement

Revision : 2

Record Description : The R.C. 102.04(D) Statement form is required to be completed by public employees who are employed by more than one public employer at the same time. This information is required by the R.C. 102.04(D).

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain the electronic records in the Legal Division’s I drive for 4 years, and then destroy.		Electronic	Delete
Scan the paper documents, verify for quality assurance, and then destroy. Retain the electronic records in the Legal Division’s I drive for 4 years, and then destroy.		Paper	Shred

Approvals

Status	Name	Title	Date
Approved	JEFF Hitch	Records Coordinator	8/23/2023 3:59:21 PM
Approved	Colleen Cottrell Erdman	Records Officer	9/1/2023 8:43:49 AM
Approved	Terri Dittmar	Record Administrator	9/5/2023 8:26:32 AM
Approved	Fred Previts	State Archivist	9/6/2023 11:04:28 AM
Approved	Martin Meeks	State Auditor	9/8/2023 9:34:02 AM

Notes

Date	Reason	User