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HomeMy WebLinkAbout2013-244 RECORDS MANAGEMENT COMPLIANCE STATEMENT for Fiscal Year 20124013 IS • A • 1 Agency ID : N0000164 C 1 . This agency is in compliance with Section 257.36(5), Florida Statutes' , and Rule 1B-24.003(9), Florida / p Administrative Code2, for all public records regardless of media or format (e.g. , paper, electronic including '6 email, microfilm, audio, video, etc. ). Yes ❑ No ( Please explain and indicate areas in need of assistance on reverse side . ) C d 2. This agency has disposed of 13 . 6 cubic feet of records for the fiscal year indicated above. (It is not 0 (Jnecessary to indicate volrrrt"f electronic records disposed. ) N Agency Head Signature: L& / _ Date : : 1 Z ! 3//3 MMUM 7P.Qffigm Name of Agency Head (please print): Ind ' Cou t �j Title of Agency Head (please print): Chairman 2 e l./ �,a ^°" 1644 " " 1111 " a ISS o""a MENNEN Please indicate changes to Agency Information on lines provided on right. C 0 Current Information ' IV Please do not erase� or cover information below.fIndicate changes or additions on lines "" c EAgency Name: Indian River County Emergency Services Districtas +"' C Agency Head: Mr. Gary C . Wheeler Mr . Peter D . O ' Bryan !A ; V d (/) C Address : 1801 27th Street, Building A m Q Vero Beach , Florida 32960-3365 Section 257 .36(5)(a ), Florida Statutes' , re vires public agencies to designate a Records Management Liaison Officer ( RMLO). Please indicate changes to RMLO Information on lines provided on right. If Current Information is blank, please Cdesignate an RMLO for your agency on lines provided on right. GOOD = AW Current Information ' C Lm Please do not erase or cover information below. Indicate changes or additions on lines below: 0 �0 RMLO: Mrs. Darcy Vasilas Laura E . Vasquez C Address : 1801 27th Street, Building A U) 0 Vero Beach , FL 32960-3365 Phone: (772 ) 226- 1433 Ext. : ( 7 7 2 ) 226 - 1919 Email: dvasilas@ircgov. com Lvasquez@ircgov . com 'Section 257.36(5), Florida Statutes: "For the purposes of this section , the term "agency" shall mean any state, county, district, or municipal officer, department, division, bureau, board , commission, or other separate unit of government created or established by law. It is the duty of each agency to: (a) Cooperate with the division in complying with the provisions of this chapter and designate a records management liaison officer. (b) Establish and maintain an active and continuing program for the economical and efficient management of records. " Rule 1 B44.003(9), Florida Administrative Code: "Public records may be destroyed or otherwise disposed of only in accordance with retention schedules established by the Division. Photographic reproductions or reproductions through electronic recordkeeping systems may substitute for the original or paper copy, per Section 92 .29, F. S. , Photographic or electronic copies . . . Prior to records disposition , agencies must ensure that all retention requirements have been satisfied . For each record series being disposed of, agencies shall identify and document the following: 1 . Records retention schedule number; 2 . Item number; 3 . Record series title; 4. Inclusive dates of the records; 5. Volume in cubic feet for paper records; for electronic records , record the number of bytes and/or records and/or files if known , or indicate that the disposed records were in electronic form ; and 6. Disposition action (manner of disposition) and date. " Please complete and return this compliance statement by December 31 , 2013 (submit one copy only, please) to : Department of State Records Management Program , Mail Station 9E OR Email to : recmgt@dos . myflorida. com Tallahassee, FL 32399=0250 RECORDS DISPOSITION DOCUMENT NO. PAGE 1 OF 2 PAGES 1 . AGENCY NAME and ADDRESS 2. AGENCY CONTACT (Name and Telephone Number) Indian River County Etta LoPresti Dept of Emergency Services 4225 43rd Avenue Vero Beach , FL 32967 ( 772 ) 226 - 3856 Ext . 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 -101001 4. SUBMITTED BY: I hereby certify that the records to be disposed of are correctly represented below , that any audit requirements for the T51ords have b n ful ) stifle , and that further retention is t required for any litigation pending or imminent. a � a r j ,� / Q Pr- / oA1113 Signature Name and Title Date 5. LIST OF RECORD SERIES ` f, g1 a. b, c, d e. Volume Disposition Schedule Item Title Retention Inclusive In Action and No. No, Dates Cubic Date Feet Completed After Authorization GSI - 3 Administrative Convenience Records OSA 1999-2006 S SL f1 256 Disaster Preparedness Drill Records OSA 2008 1 O I1 C) 1 . 10 Total 6. DISPOSAL AUTHORIZATION : Disposal for the above listed 7. DISPOSAL CERTIFIC TE : The above listed records have been records is authorized. Any deletions or modifications are indicated. sposed of in ,fn er andfgrt the date shown in column g, o o !/ Signature Date o L- '. M. st ian/Records Management Liai Offi r Date 001 ame and Witness RECORDS DISPOSITION DOCUMENT NO. PAGE 1 OF 1 PAGES 1 . AGENCY NAME and ADDRESS 2. AGENCY CONTACT (Name and Telephone Number) Indian River County Ellen Salm Department of Emergency Services Fire Rescue 4225 43rd Avenue , Vero Beach , FL 32967 ( 772 ) 226 - 3865 Ext . 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 hereby certify that the records to be disposed of are correctly represented below, that any audit requirements for the rc s have been fully justified, =1d that further retention is not required for any litigation pending or imminent. Ar*J eJ L to - � 3 /ignature Name and Title Date 5. LIST OF RECORD SERIF f. g1 a. b. c, d e. Volume Disposition Schedule Item Title Retention Inclusive In Action and No. No. Dates Cubic Date Feet Completed After Authorization GS4 80 Patient Medical Records 7 CY 2000 - 2003 2 n GS4 127 Inventory Records : Drugs 2CY 1989 - 2005 1 . 5 GSI - 98 Disciplinary Case Files 5 CY 1994 - 2003 2 SL GSI - 139 Promotion /Transfer Records 4 CY 2000 - 2004 1 . 5 SL GSI - 24 Employment Application and Selection 2CY 2000 - 2004 2 SL Records GS8 46 Training Records : Student Evaluations 2CY 1990 - 2000 2 (Finals) Total 11 CF 6. DISPOSAL AUTHORIZATION : Disposal for the above listed 7. DISPOSAL CERTIFICATE: The above listed records have been records is authorized. Any deletions or modifications are indicated. ispos the mand on the date shown in colu -n g. ? � � 3 Signature Date stodian/Records Manageme a son icer D toa and Witn s RECORDS DISPOSITION DOCUMENT NO. PAGE 1 OF 1 PAGES 1 , AGENCY NAME and ADDRESS 2. AGENCY CONTACT (Name and Telephone Number) Indian River County Rachel Ivey Department of Emergency Services 4225 43rd Ave . Vero Beach , FL 32967 - 1671 ( 772 ) 226 - 3859 Ext . 3. NOTICE OF INTENTION: The scheduled records listed in Item 5 are to be disposed of in the manner checked below (specify only orle) . ❑ a. Destruction ❑ b . Microfilming and Destruction ® c . Other Scanned & Destruction 4. SUBMITTED BY: I hereby certify that the records to be disposed of are correctly represented below , that any audit requirements for ds have been fully justified , and that further retention is not required for any litigation pending or imminent. Si na re 9 Name and Title . Date 5. LIST OF RECORD SE414 ' 00 "Z " I I fo go a, b, co d. e• Volume Disposition Schedule Item TitleInclusive In Action and No. No, Retention Dates _ Cubic Date Feet Completed After Authorization GSI - 52 Travel Records 5 FY FY 2012/ 13 �� SL 42 Purchasing Records - Copies 5 FY FY 2012/ 13 I146 Transitory Messages - Paper OSA FY 2012/ 13 10 oli 13 17 Correspondence & Memorands : 3 FY FY 2012/ 13 Administrative 2 Administrative Convenience Records OSA FY 2012/ 13 3 Administrative Support Records OSA FY 2012/ 13 116 Attendance & Leave Records 317Y FY 2012/ 13 265 Emergency Operations Records : 4 CY FY 2007/08 Applications GS8 70 Toxic Substances Lists 4 CY CY 2009 Total . 50 6. DISPOSAL AUTHORIZATION: Disposal for the above listed 7. POSAL CERTIFICATE : The above listed records have been records is authorized. Any deletions or modifications are indicated. disp s of i nd on the date shown in column g. _ CA ur Date a� todian/ ecords Ma 69 bate Na:meT Title tness NO. RECORDS DISPOSITION DOCUMENT PAGE 1 OF 1 PAGES 1 . AGENCY NAME and ADDRESS 2. AGENCY CONTACT ( Name and Telephone Number) Animal Control Divison Jason Ogilvie 4305 43rd ave unit # 102 Vero Beach , F1 . 32967 ( 772 ) 226 - 3486 Ext . 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 hereby certify that the records to be disposed of are correctly represented below, that any audit requirements for the rec ds have en fully justified , and that further retention is not required for any litigation pending or imminent. re d4 atur a and Titleg s . ate 5. , LIST OF RECO D ERIES f. g1 a, b, c, d. e. Volume Disposition Schedule Item Title Retention Inclusive In Action and No. No. Dates Cubic Date Feet Completed After Authorization GS1L 234 violation citation books carbon copy 3 years Jan. 1s` 20064an 1st 2010 A ° 0 6. DISPOSAL AUTHORIZATION : Disposal for the above listed 7. DISPOSAL CERTIFICATE : The above listed records have been records is authorized . Any deletions or modifications are indicate is ed of in the manner and on the date shown in column g . to Date v u todian/Recor ana ement ' o Office jOate Nam ' Witness