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Agency Schedule Detail

Authorization Number :  883-0169
Agency Series No. :  REC-0017
Status :  Active
Agency Web Link : 
Agency :  MED
Confidential Description :   
Division :  MEDLICS
Vital Description : 
Section : 
Record Title :  Request for Name Change
Revision :  4
Record Description :  Affidavits, proof of name change, cover letter, old wall certificate, and other information provided to the Board due to licensee's name change.
Retention Period Retention Justification Media Code Method of Disposal
Retain until scanned to electronic medium for storage and scan is checked for accuracy or 3 years to retention period; then destroy. If not scanned, retain until audited by Auditor of State, audit report is released, and all discrepancies are resolved; then destroy. No value at Conversion Paper Shred
Retain until audited by Auditor of State, audit report is released, and all discrepancies are resolved or 3 years to retention period . Electronic Delete

Approvals

Status Name Title Date
Approved Gary Holben Records Officer 8/22/2022 3:50:35 PM
Approved Terri Dittmar Record Administrator 8/23/2022 8:35:02 AM
Approved Martin Meeks State Auditor 8/24/2022 9:36:40 AM
Approved Fred Previts State Archivist 8/24/2022 12:40:07 PM

Notes

Date Reason User

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© 2025 - RIMS, State of Ohio