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Agency Schedule Detail

Authorization Number :  78550006
Agency Series No. :  LABO-10
Status :  Active
Agency Web Link : 
Agency :  BWC
Confidential Description :  Information does contain personal information about employees.
Division :  BWCHUMA
Vital Description : 
Section :  BWCHUMALABO
Record Title :  Fitness For Duty Reports
Revision :  1
Record Description :  This file consist of the doctors evalution of findings report and a brief description of the problem which has caused the deptartment to schedule the employee fitness evaluation. the file contains but is not limited to the employees fitness for duty, physical information,psychological information, advise as to whether or not the employee should recieve a copy of the report, if the employee is a threat to himself or others,disability application, letter to noitify employee of examination date, return to work letter,employee history screen, any correspondence between management used to determine if an evaluation is necessary, letter to notify employee of a meeting to discuss disability separation.
Retention Period Retention Justification Media Code Method of Disposal
Retain record for the duration of employee''s employment then retain for 2 years after active service, then destroy Employee may be disability separated and has up to 2 years from active service to be reinstated. Paper Shred

Approvals

Status Name Title Date
Approved John Cahill Records Coordinator 1/21/2011 10:09:00 AM
Approved Melissa Roach Records Officer 1/24/2011 5:07:00 PM
Approved Michael Hardenbrook Record Administrator 2/14/2011 1:49:00 PM
Approved Fred Previts State Archivist 2/15/2011 10:11:00 AM
Approved Martin Meeks State Auditor 2/16/2011 1:16:00 PM

Notes

Date Reason User

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