Agency Schedule Detail

Authorization Number : 50760061

Agency Series No. : 50-HR-016

Status : Active

Agency Web Link :

Agency : OOD

Confidential Description : Records contain personal confidential information including medical records.

Division : OODHUMR

Vital Description :

Section : OODHUMR

Record Title : Medical, Disability & FMLA

Revision : 0

Record Description : Files maintained on employees relating to medical history, disability and FMLA. Records may include: Medical Forms, Disability Leave Cards, Application for Disability, Leave Benefits, Application for Disability Leave, Employer Statement, Supplemental Report, Physician or Health Care Provider Certification for FMLA, Disability approval and leaves, and any other record or supporting document relating to medical history, disability and FMLA.

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain for five (5) state fiscal years after employment terminates. A Certificate of Disposal is required when destroying this Record.	Retain until options to return to work have been exhausted.	Paper	Shred
Retain for five (5) state fiscal years after employment terminates. A Certificate of Disposal is required when destroying this Record.	Retain until options to return to work have been exhausted.	Electronic	Delete

Approvals

Status	Name	Title	Date
Approved	Debbie Stevens	Records Officer	6/10/2014 9:07:00 AM
Approved	Bunnie Jones	Record Administrator	6/19/2014 8:52:00 AM
Approved	Fred Previts	State Archivist	6/26/2014 12:35:00 PM
Approved	Martin Meeks	State Auditor	6/30/2014 2:00:00 PM

Notes

Date	Reason	User