Agency Schedule Detail

Authorization Number : 51130026

Agency Series No. : 1590004

Status : Active

Agency Web Link :

Agency : DBH

Confidential Description :

Division : DBHCOFF

Vital Description :

Section : DBHCOFFPHAR

Record Title : Central Pharmacy - Agency Allocation

Revision : 0

Record Description : Form which documents line item 419 allocations to community mental health agencies. Includes board name, agency Central Pharmacy number, agency name, line item 419 allocation, and total line item 419 allocation.

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain 3 years, then destroy.		Electronic	Delete
Retain 3 years, then destroy.		Paper	Shred

Approvals

Status	Name	Title	Date
Approved	Gregory Allison	Records Officer	11/20/2025 3:18:27 PM
Approved	Terri Dittmar	Record Administrator	11/24/2025 7:27:56 AM
Approved	Martin Meeks	State Auditor	11/26/2025 10:12:45 AM
Approved	Fred Previts	State Archivist	11/28/2025 4:53:12 PM

Notes

Date	Reason	User