Agency Schedule Detail

Authorization Number : 872-0054

Agency Series No. : RCB-0027

Status : Active

Agency Web Link :

Agency : RCB

Confidential Description : Application forms and attached documents contain Personal confidential information, including social security number.

Division :

Vital Description :

Section :

Record Title : Records of Licensed or Registered HME facilities

Revision : 3

Record Description : Original Applications, supporting documents, insurance certificates copy of certificates, final inspection reports and compliance response letters with documentation, correspondence, copies of adjudication orders, copies of consent agreements, copies of opportunity for hearing notices.

Retention Period	Retention Justification	Media Code	Method of Disposal
Two years following notification of closure of facility		Electronic	Erase
Two years following notification of closure of facility or until scanned as machine readable		Paper	Shred

Approvals

Status	Name	Title	Date
Approved	Christopher Logsdon	Records Officer	11/16/2012 8:07:00 AM
Approved	Bunnie Jones	Record Administrator	11/27/2012 2:05:00 PM
Approved	Martin Meeks	State Auditor	11/28/2012 8:45:00 AM
Approved	Fred Previts	State Archivist	11/30/2012 10:12:00 AM

Notes

Date	Reason	User