Agency Schedule Detail

Authorization Number : 870-0575

Agency Series No. : 78.7

Status : Active

Agency Web Link :

Agency : PUC

Confidential Description : Contains medical information

Division : PUCTCMP

Vital Description :

Section : PUCTCMP

Record Title : Provisional medical certification records

Revision : 0

Record Description : Provisional medical certifications for applicants to determine if applicant meets the program qualifications. Files may include applicant’s personal information, medical history, driving records, physician reports, driver’s license numbers, social security numbers, applicant’s work history and related correspondence.

Retention Period	Retention Justification	Media Code	Method of Disposal
Maintain for two years after inactive date (withdrawn), then destroy.	4901:2-5-02, OAC 4901:2-5-04, OAC 49 CFR 391.41 - 391.49	Electronic	Delete

Approvals

Status	Name	Title	Date
Approved	Tanowa Troupe	Records Officer	2/22/2021 3:37:36 PM
Approved	Terri Dittmar	Record Administrator	3/1/2021 7:43:18 AM
Approved	Fred Previts	State Archivist	3/1/2021 10:32:02 AM
Approved	Martin Meeks	State Auditor	3/1/2021 12:51:09 PM

Notes

Date	Reason	User