Agency Schedule Detail

Authorization Number : 50580056

Agency Series No. : OTC5000227

Status : Active

Agency Web Link :

Agency : OTC

Confidential Description :

Division : OTC0500

Vital Description :

Section : OTC05000002

Record Title : Request for Pay Forms/Authorizations

Revision : 0

Record Description : Record of employee request to elect pay in lieu of vacation. Record of employee to request to convert holiday to vacation. Request of authorization to pay employee on approved Workers'' Compensation holiday pay.

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain 1 year		Paper	Shred
Retain 4 years		Electronic	Delete

Approvals

Status	Name	Title	Date
Approved	Jennifer Diaz	Records Coordinator	4/28/2006 8:50:00 AM
Approved	Noelle Tsevdos	Records Officer	5/3/2006 3:44:00 PM
Approved	Michael Hardenbrook	Record Administrator	5/12/2006 4:02:00 PM
Approved	Martin Meeks	State Auditor	5/17/2006 8:46:00 AM
Approved	Steve Gutgesell	State Archivist	5/31/2006 8:59:00 AM

Notes

Date	Reason	User