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City of Santa Ana Records Retention Schedule <br />PERSONNEL SERVICES AGENCY <br />Exhibit H <br />RECORD CATEGORY <br />RECORD SERIEST <br />RECORD DESCRIPTION <br />RECORD <br />START DATE <br />RETENTION <br />PERIOD <br />REMARKS <br />CUSTODIAN <br />Performance Evaluations <br />Employee performance evaluation forms <br />EE separation/ <br />5 years <br />29 CFR 1602.30- <br />Personnel <br />completed by supervisory personnel re <br />termination date <br />.32 & WCLC, <br />Services <br />employees' accomplishment of their assigned <br />Section 3212 <br />duties and responsibilities, etc. <br />Pre -Employment Medical <br />Forms completed by employee and medical <br />EE separation/ <br />30 Years <br />US OSHA 29 <br />Personnel <br />clinic to assess physical capability of employee <br />termination date <br />CFR 1910.20 <br />Services <br />prior to hiring. <br />Security Check Form <br />Form completed by Personnel Svcs to request <br />EE separation/ <br />5 years <br />29 CFR 1602.30- <br />Personnel <br />Police Dept to conduct security check on <br />termination date <br />.32 & WCLC, <br />Services <br />employee prior to hiring. <br />Section 3212 <br />Special Licenses <br />Special licenses issued to employees from <br />EE separation/ <br />5 years <br />29 CFR 1602.30- <br />Personnel <br />DMV, accredited schools, etc., verifying <br />termination date <br />.32 & WCLC, <br />Services <br />employee meets certain job -related <br />Section 3212 <br />requirements. <br />Tuition Reimbursement <br />Copies of applications for training and <br />EE separation/ <br />5 years <br />29 CFR 1602.30- <br />Personnel <br />Request <br />educational assistance which show EE request, <br />termination date <br />.32 & WCLC, <br />Services <br />department head approval, and final disposition <br />Section 3212 <br />of request. <br />Union Bank Donation Form <br />Form signed by employee authorizing leave <br />EE separation/ <br />5 years <br />29 CFR 1602.30- <br />Personnel <br />hours be donated to the Union Business Leave <br />termination date <br />.32 & WCLC, <br />Services <br />Bank to be used by union leaders for Union <br />Section 3212 <br />Business. <br />W-4 form <br />Employee's Withholding Allowance Certificate <br />EE separation/ <br />Permanent <br />29 CFR 1602.30- <br />Personnel <br />completed by EE authorizing employer to <br />termination date <br />.32 & WCLC, <br />Services <br />withhold Federal income tax from employee's <br />Section 3212 <br />pay and/or for indicating exemption. <br />PAYROLL <br />Employee Kardex File Cards <br />Reference for current and/or separated full/part- <br />EE separation/ <br />Permanent <br />Department defined <br />Personnel <br />time employee information. Note: part-time <br />termination date <br />Services <br />Kardex file cards discontinued as of 7/1/11. <br />Salary Schedules <br />Basic Consolidated Classification/ <br />Permanent <br />Permanent <br />Department defined <br />Personnel <br />Compensation Plans <br />Services <br />PERSONNEL BOARD' <br />Personnel Board Hearing <br />Employee personnel board hearing files. <br />EE separation/ <br />5 years <br />29 CFR 1602.30- <br />Personnel <br />Files <br />termination date <br />.32 & WCLC <br />Services <br />Section 3212 <br />RECRUITMENTS <br />Background Materials <br />Materials used in the preparation/ <br />Date recruitment for <br />2 years <br />Department defined <br />Personnel <br />implementation of recruitments. <br />position is initiated. <br />Services <br />6of9 <br />