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Agency Schedule Detail

Authorization Number :  50740045
Agency Series No. :  DDDITS-3
Status :  Active
Agency Web Link : 
Agency :  DDD
Confidential Description : 
Division :  DDDITS
Vital Description : 
Section : 
Record Title :  Security Affidavits
Revision :  0
Record Description :  DODD Security Affidavits forms, which identify a particular DODD systems user and the level of access that user and/or entity has to each of the application systems. Required for each DODD employee and any external entity accessing DODD applications and is renewed either annually or according to the renewal schedule in ITS Policy ITS-001.
Retention Period Retention Justification Media Code Method of Disposal
Retain until scanned and saved electronically or pursuant to the following: DODD Employees: Retain for one year after end of employment. Provider: Retain for seven years after end of certification with DODD. Billing entity: Retain for seven years after termination of relationships with all DODD providers. County Board employees: Retain for seven years after the end date of employment with the County Board. County Boards: Retain for seven years after termination of the relationship between the County Board and DODD. MAIS Nurse: Retain for seven years after the nurse's credentials have expired in MAIS. MAIS Secretaries: Retain for seven years after end of all relationships with MAIS nurses. Paper Recycle
DODD Employee: Retain for one year after end of employment. Provider: Retain for seven years after end of certification with DODD. Billing entity: Retain for seven years after termination of relationships with all DODD providers. County Board employees: Retain for seven years after the end date of employment with the County Board. County Boards: Retain for seven years after termination of the relationship between the County Board and DODD. MAIS Nurse: Retain for seven years after the nurse's credentials have expired in MAIS. MAIS Secretaries: Retain for seven years after end of all relationships with MAIS nurses. Electronic Delete

Approvals

Status Name Title Date
Approved Stephanie Deters Records Officer 3/2/2022 8:32:13 AM
Approved Terri Dittmar Record Administrator 3/3/2022 6:30:25 AM
Approved Fred Previts State Archivist 3/3/2022 3:33:22 PM
Approved Martin Meeks State Auditor 3/14/2022 11:07:26 AM

Notes

Date Reason User

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