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CITY OF SANTA ANA <br />OBSOLETE RECORDS DESTRUCTION SCHEDULE <br />PERSONNEL SERVICES DEPARTMENT <br />2006 <br />PERSONNEL SERVICES DEPARTMENT <br />RECORD RECORD RECORD <br />4 RECORD <br />- <br />CATEGORY SERIES DESCRIPTION DATES <br />ENROLLMENT Dental Insurance Employee dental insurance enrollment EE Separated <br />FORMS forms** October 2003 and <br />(OFFICIAL) prior <br /> Flexible Enrollment forms for flexible spending EE Separated <br /> Spending, program** October 2003 and <br /> Section 125 prior <br /> Life Insurance Employee life insurance enrollment forms*" EE Separated <br /> October 2003 and <br /> prior <br /> Long-Term Employee Long-Term Disability Insurance EE Separated <br /> Disability enrollment forms" October 2003 and <br /> Insurance prior <br /> Medical Employee medical insurance enrollment EE Separated <br /> Insurance forms** October 2003 and <br /> prior <br />EQUAL Employment and Personnel and employment records, EE Separated <br />EMPLOYMENT personnel including application forms*, records October 2003 and <br />OPPORTUNITY records pertaining to promotions*, layoffs*, prior <br />COMMISSION terminations*, salaries* and training* <br />(EEOC) <br /> Involuntary Personnel records of terminated employee* EE Separated <br /> termination October 2003 and <br /> prior <br />OFFICIAL Certification/ Request for Certification and/or EE Separated <br />PERSONNEL Reassignment reassignment forms which document and October 2003 and <br />FILES Forms authorize hiring, reassignment, or other prior <br /> employee actions* <br /> Certificates of Certificates issued to EE which show EE Separated <br /> Training completion date of training class(es).* October 2003 and <br /> prior <br /> Commendation Letters of commendation and/orother EE Separated <br /> Letters congratulatory documents received by and/or October 2003 and <br /> issued to EE.* prior <br /> Disciplinary Memorandums, letters, or other records of EE Separated <br /> Actions proposed and/or implemented disciplinary October 2003 and <br /> action(s)* prior <br /> Doctor's Notes/ Notes/medical release forms, etc., submitted EE Separated <br /> Medical regarding employee's medical condition.** October 2003 and <br /> Releases prior <br /> Drug Screen Pre-placement and drug screening EE Separated <br /> Test authorization and acknowledgement form(s) October 2003 and <br /> and results of drug screening.** prior <br />19C-9