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City of Santa Ana Records Retention Schedule <br />PERSONNEL SERVICES AGENCY <br />Exhibit H <br />RECORD CATEGORY <br />RECORD SERIES <br />RECORD DESCRIPTION <br />RECORD <br />START DATE <br />RETENTION <br />PERIOD <br />REMARKS <br />CUSTODIAN <br />Life Insurance <br />Employee life insurance enrollment forms <br />EE separation/ <br />6 years <br />29 CFR 1620.30- <br />Personnel <br />termination date <br />.32 & WCL, Section <br />Services <br />3212 <br />Long -Term Disability <br />Employee Long -Term Disability Insurance <br />EE separation/ <br />6 years <br />29 CFR 1620.30- <br />Personnel <br />Insurance <br />enrollment forms <br />termination date <br />.32 & WCL, Section <br />Services <br />3212 <br />ICMA Retiree Health <br />Retiree Health Savings Plan enrollment forms <br />EE separation/ <br />6 years <br />29 CFR 1620.30- <br />Personnel <br />Savings Plan <br />termination date <br />.32 & WCL, Section <br />Services <br />3212 <br />COBRA <br />COBRA enrollment forms, correspondence, <br />EE separation/ <br />6 years <br />29 CFR 1620.30- <br />Personnel <br />premium payments <br />termination date <br />.32 & WCL, Section <br />Services <br />3212 <br />Medical Insurance <br />Employee medical insurance enrollment forms <br />EE separation/ <br />6 years <br />29 CFR 1620.30- <br />Personnel <br />termination date <br />.32 & WCL, Section <br />Services <br />3212 <br />EQUAL EMPLOYMENT <br />Employment and personnel <br />Personnel and employment records, including <br />Record Date <br />2 years <br />OPPORTUNITY <br />records <br />application forms, records pertaining to <br />COMMISSION (EEOC) <br />promotions, layoffs, terminations, salaries and <br />training <br />Involuntary termination <br />Personnel records of terminated employee <br />Termination Date <br />2 years <br />EEOC, 29 C.F.R., <br />Personnel <br />Sect.1602.31 <br />Services <br />EQUAL EMPLOYMENT <br />Charge of discrimination <br />Personnel and/or employment records relating <br />Date of record or <br />Until final <br />EEOC, 29 C.F.R., <br />Personnel <br />OPPORTUNITY <br />to the charge, including application forms, <br />personnel action <br />disposition of <br />Sect. 1602.14 and <br />Services <br />COMMISSION (EEOC); <br />records pertaining to promotions, layoffs, <br />complaint + 2 <br />Sect. 1602.31 <br />TITLE VII - CIVIL RIGHTS <br />terminations, salaries and training. <br />Years <br />ACT <br />EQUAL EMPLOYMENT <br />State and Local <br />Copy of EEO-4 Report <br />Report completion <br />3 years <br />EEOC, 29 C.F.R., <br />Personnel <br />OPPORTUNITY <br />Government Information <br />date <br />Sect. 1602.32 <br />Services <br />COMMISSION (EEOC) <br />Report (EEO-4) <br />State and Local <br />Employment records regarding race, color, <br />Report completion <br />3 years <br />EEOC, 29 C.F.R., <br />Personnel <br />Government Information <br />national origin or sex <br />date <br />Sect. 1602.30 <br />Services <br />Report (EEO-4) <br />FAIR EMPLOYMENT AND <br />Complaints <br />Personnel and employment records, <br />Date record or <br />2 years after the <br />FEHA, Title ll, Div <br />Personnel <br />HOUSING ACT (FEHA) <br />memorandums, letters or other records of <br />documentation <br />date of the <br />3, Part 2.8, Sect. <br />Services <br />complaints or requests received, and responses/ <br />received by <br />employment or <br />12946; EEOC, 29 <br />actions taken <br />Personnel <br />other action <br />C.F.R., Sec. <br />taken1602.14 <br />HISTORICAL RECORDS <br />Discipline History <br />Forms completed by personnel analysts as a <br />Record Date <br />3 years' <br />Department defined <br />Personnel <br />record of disciplinary actions taken on <br />Services <br />employees in their assigned department(s). <br />Fitness for duty <br />Copies of letters sent to employees re: need for <br />Letter Date <br />3 years <br />Department defined <br />Personnel <br />fitness for duty exam. Psychiatrist's <br />Services <br />evaluations/results of fitness for duty exams. <br />3of9 <br />