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Agency Schedule Detail

Authorization Number :  795-0947
Agency Series No. :  HR-FMLA
Status :  Active
Agency Web Link : 
Agency :  JFS
Confidential Description :  Medical records, diagnosis, prognosis, treatment plans, employee's personal information.
Division : 
Vital Description : 
Section : 
Record Title :  Family Medical Leave Act (FMLA)
Revision :  1
Record Description :  Employee requests for coverage under the Family Medical Leave Act for a variety of short term and chronic medical conditions. Files include personal medical history, requests for leave, physician statements, determination letters and related correspondence.
Retention Period Retention Justification Media Code Method of Disposal
Retain 4 years then destroy. Electronic Erase

Approvals

Status Name Title Date
Approved Shelia Robinson Records Officer 1/23/2024 4:51:05 PM
Approved Terri Dittmar Record Administrator 1/29/2024 11:05:59 AM
Approved Fred Previts State Archivist 1/30/2024 4:23:28 PM
Approved Martin Meeks State Auditor 2/1/2024 9:25:51 AM

Notes

Date Reason User

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© 2025 - RIMS, State of Ohio