Agency Schedule Detail

Authorization Number : 11001582

Agency Series No. : BEN - 12

Status : Active

Agency Web Link :

Agency : DAS

Confidential Description : Contains medical information.

Division : DAS0400

Vital Description :

Section : DAS04000403

Record Title : Documents Submitted to Enroll in Benefit Programs (Unchanging)

Revision : 0

Record Description : Records submitted as basis for enrolling/maintaining dependents in benefit programs that do not change over time. Includes birth certificates, consular report of birth abroad of a citizen of USA or certification of birth abroad, adoption court documents, international adoption papers, and disabled dependent approval paperwork.

Retention Period	Retention Justification	Media Code	Method of Disposal
Maintain in office for one year after employee has left state service, then destroy.		Electronic	Erase
Maintain in office for one year after employee has left state service, then destroy.		Paper	Shred

Approvals

Status	Name	Title	Date
Approved	Jane Kuzma	Records Officer	5/5/2011 9:10:00 AM
Approved	Michael Hardenbrook	Record Administrator	5/9/2011 1:12:00 PM
Approved	Martin Meeks	State Auditor	5/12/2011 10:37:00 AM
Approved	Fred Previts	State Archivist	6/2/2011 1:35:00 PM

Notes

Date	Reason	User