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Agency Schedule Detail

Authorization Number :  090-0491
Agency Series No. :  HUM-111
Status :  Active
Agency Web Link : 
Agency :  TOS
Confidential Description :   
Division : 
Vital Description : 
Section : 
Record Title :  OPERS Certifications
Revision :  2
Record Description :  OPERS form that is completed by an employee and certified by the employer. This form certifies the dates that a former employee worked in the office of the Treasurer of State, so that the former employee can receive OPERS credit for that period of time.
Retention Period Retention Justification Media Code Method of Disposal
Retain for 50 years after the employee''s date of separation, then destroy. 1 copy stored on-site, and 1 copy stored off-site. Needed for employment verifications and retirement system contributions. Microform Shred
Retain for 6 years after employee''s date of separation, and then destroy provided microfilm copies are checked for accuracy and completeness. An employee taking disability retirement has reinstatement rights for 5 years from the effective date of disability benefit (ORC 145.362; OAC 123:1-30-04). Paper Shred

Approvals

Status Name Title Date
Approved James Payne Records Coordinator 5/3/2022 8:12:08 PM
Approved Michael Lenzo Records Officer 10/20/2022 3:45:12 PM
Approved Terri Dittmar Records Coordinator 10/21/2022 11:02:20 AM
Approved Martin Meeks State Auditor 10/25/2022 10:18:19 AM
Approved Fred Previts State Archivist 10/26/2022 11:51:41 AM

Notes

Date Reason User

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© 2025 - RIMS, State of Ohio