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RECORDS DISPOSITION DOCUMENT NO. PAGE 1 OF 1 PAGES 1 . AGENCY NAME and ADDRESS 2. AGENCY CONTACT (Name and Telephone Number) Indian River County BCC Human Resources Department Shelley Nowlin 1800 27th Street , ( 772 ) 226 - 1456 Ext . Vero Beach , Florida 32960 3. NOTICE OF INTENTION : The scheduled records listed in Item 5 are to be disposed of in the manner checked below (specify only one) . ® a . Destruction ❑ b . Microfilming and Destruction ❑ c. Other 4. SUBMITTED BY: I hertooteby c ify that the records to be disposed of are correctly represented below, that any audit requirements for the re fu stifle nd that further retention is not required for any litigation pending or imminent. es A. Sexton Director 01 /12/2012 Sign Name andTtitle Date i3R13 5 LIST �1F Re f. g1 a. b. c, d. e• Volume Disposition Inclusive In Action an Schedule Item Title Retention InDates Cubic Date � No. No. Feet Completed After Authorization Personnel Records : FL Retirement GS1 -SL o1 9 System 25 FY 10/1 /85 — 09/30/86 3 . 0 _.............. ........._..._......_...... . . ..... _._...._..........._._.__..............._......._....._. ......_._.__........._._...._... _................._.__..._. .._......................_..._..._......_..................._....._.__..._._.__.. ........._.__.... .._.__. _._....__......_.......__._.............._.. GS1 -SL 111 Insurance Records 5 FY 10/1 /05 — 09/30/06 5 . 0 .........................I.........._... _....._..... ..__...._. .............._.....__........................._...._.............._-_...................................._........._...... ._..__._..............................._...._......... .._........._...._._............_... ......_.__...._.......-___-.._..._..._..............._....._................_...._._......._......_...... ......._ _.._..__._........_._.... __...._..._.........._....._..................... GS1 -SL 17 Correspondence & Memoranda : Administrative 3 FY 10/1 /06 — 09/30/07 2 . 0 .....................I.....I._.... ..........._. _. _. . ...._................,...................._.._........................_...................................._.._........_._.. _.._......_.._.__._..........._........... ............................._.__.._... ..._........_.._....__.._.._................._.._....__..._.....__...............__......._.._._......_..... .._...._......_.........._.......... .._....__........_..._..................._._......... .. ..... .. . Equal Employment Opportunity GS1 -SL 103 Compliance Records A/A Survey Forms ) _ _ _ 4 Yrs 01 /01 — 12/31 /07 1 . 0 .... ......_...... . ........ ... ........ . . . . . . . . . . . . ..... _ _ .. .__.......... _. .............. _ _..........I....._. . _ ........................._.............__.................._.............. ...... . _. .........._..;....... ._........_ ._..._ ......_........._ ._...._. GS1 -SL 24 Employment Application & Selection _._.._................._......_._. ......_. _. _.... ....Records (Record .Copy) __.._ ___._...................._......._..__.........._. .._..._2 Yrs 01 /01 — 12/31 /09 5 . 0 .... _.....�_..._..._............_.._.._. _ _ _ _..........__......... _._..__..............__.._.............__.... GS1 - SL 195 Payroll Records : Supporting Documents 3 Yrs 01 /01 - 12/31 /07 24 . 0 _._. ......_......._..._...._.._.... ..........._..._ ._..._.._....._ ---............_._..._......._._._..__............._......_. .._._._ _._........_...... .._....__..._....__....._._...._....... GS1 -SL 66 Personnel Records : OPS/Volunteer/ Intern/Tem orary Employment ...........-444.1.........___.... _ ......_._3..FY.......... _._.._...__......._10/ 1 /07...__ ._09/30!08 1 . 0 _.............................. ... ......_......_.. ... .........._.......__..._._ ___......_ p. ._ _ . ........................ ......................._... ......_..........__........_........ ......_._.._......_..............._._..._........... GS1 -SL Bud et Records 2 FY 10/1 /08 — 09/30/09 1 . 0 6. DISPOSAL AUTHORIZATION : Disposal for the above listed records 7. DISPOSAL CERTIFIC TE: The above listed records have been is authorized. Any deletions or modifications are indicated. di f ' e m er and the date shown in column Z ! � Iz ` Sign Date James A. Sexton . H man Resources Director Custodian/Records anagement Liaison Officer Date Name,W Title 1 Darcy R . Vasilas Az" Witness FOR HUMAN RESOURCES RECORDS ONLY : Box # 1 = 2009 Employee Verification folder (more then 3 yrs) 09/ 10 Information Req.