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Agency Schedule Detail

Authorization Number :  11001650
Agency Series No. :  OES-2
Status :  Active
Agency Web Link : 
Agency :  DAS
Confidential Description :  Series may contain personal information about an employee that would not be considered public record.
Division :  DAS0100
Vital Description : 
Section :  DAS01000114
Record Title :  DAS Employee Payroll and Benefits Documents
Revision :  0
Record Description :  List of document types in this record series include, but are not limited to, Benefit Enrollment/Change form, Benefit Refunds, Benefit Eligibility Appeal packet, Change of Address, Deferred Compensation, Dependent Eligibility documents, Direct Deposit form, Final Payroll Certification, Healthcare Waiver form, Insurance Enrollment form, Jury Duty-Copy of Check and Subpoena, Leave Conversion form, Over/Under Payment & Financial Settlement, Payroll Deduction Cards and Agreements, Physician Verification Notice, Request for Refunds, Tax Forms (Federal, State, City), Union Authorization Cards, Verification of Employment/Income.
Retention Period Retention Justification Media Code Method of Disposal
Retain 7 years from effective date of employee separation This series contains importantl information, which may be requested by other employers or employees long after the employee has terminated service with this department. Paper Shred
Retain 7 years from effective date of employee separation This series contains importantl information, which may be requested by other employers or employees long after the employee has terminated service with this department. Electronic Delete

Approvals

Status Name Title Date
Approved Jane Kuzma Records Officer 10/1/2020 11:07:24 AM
Approved Terri Dittmar Record Administrator 10/2/2020 8:17:24 AM
Approved Martin Meeks Records Officer 10/2/2020 8:51:53 AM
Approved Fred Previts State Archivist 10/5/2020 3:14:04 PM

Notes

Date Reason User

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