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Agency Schedule Detail

Authorization Number :  10700286
Agency Series No. :  GP-O-04
Status :  Active
Agency Web Link : 
Agency :  AUD
Confidential Description :  may include SSN and confidential medical documents
Division :  AUDADMN
Vital Description : 
Section :  AUDADMN0005
Record Title :  Employee Medical Documents
Revision :  0
Record Description :  List of document types in this record series include, but are not limited to: Accident or Illness form, American with Disabilities Act (ADA), C+84, C86, C-9, Childbirth/Adoption, DHO/SHO Orders, Disability Application, Doctor Letter for Light Duty, Family and Medical Leave Act (FMLA) documents, Hospitalization/Outpatient Surgery Certification, Independent Medical Exam (IME), Injury/Illness Report (ADM 4303), Medco-14s, Medical correspondence, Medical Records, Ohio Employee Assistance Program (EAP) Agreements, Retirement Disability Application, Return to Work, Salary Continuation Request/Extension, Statement of Psychiatric Disability-Psych Questionnaire (ADM 4316), Transitional Work Program (TWP), Workers' Compensation correspondence, letters from BWC, etc.
Retention Period Retention Justification Media Code Method of Disposal
Retain 7 years after the case the documents support is closed Electronic Delete
Retain while needed, then destroy after an electronic version has been created and verified for accuracy. Paper Shred

Approvals

Status Name Title Date
Approved Martin Meeks Records Officer 8/25/2020 3:12:13 PM
Approved Terri Dittmar Records Coordinator 8/28/2020 9:06:42 AM
Approved Fred Previts State Archivist 8/28/2020 9:34:50 AM
Approved Martin Meeks Records Officer 9/14/2020 11:16:44 AM

Notes

Date Reason User

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