Agency Schedule Detail

Authorization Number : 019-0017

Agency Series No. : PAY-02

Status : Obsolete

Agency Web Link :

Agency : PUB

Confidential Description :

Division : PUBADMN

Vital Description :

Section :

Record Title : Employee Withholding Exemption Certifica

Revision : 1

Record Description : Form No. IT-04 (1-75). Form authorizing state to withhold a portion of the employee's income for the payment of state income tax.

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain four years after superseded or employee concerned is separated or terminated; then destroy.		Paper	Shred

Approvals

Status	Name	Title	Date
Blank	Transfer User	Records Viewer	11/18/1997 12:00:00 AM
Blank	Sharon Flynt	Records Officer	3/4/2026 2:54:17 PM

Notes

Date	Reason	User
3/4/2026 2:54:17 PM	No longer need, General Schedule is available, GP-O-10.	Sharon Flynt