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PERSONNEL SERVICES DEPARTMENT <br />RECORD RECORD RECORD RECORD <br />CATEGORY SERIES DESCRIPTION DATES <br /> Tuition Copies of applications for training and EE Separated <br /> Reimbursement educational assistance which show EE request, December 2007 and <br /> Request department head approval, and final disposition prior <br /> of request.* <br />OFFICIAL Union Bank Form signed by employee authorizing leave hours EE Separated <br />PERSONNEL Donation Form be donated to the Union Business Leave Bank to December 2007 and <br />FILES be used by union leaders for Union Business.* prior <br /> W-4 form Employee's Withholding Allowance Certificate EE Separated <br /> completed by EE authorizing employer to withhold December 2007 and <br /> Federal income tax from employee's pay and/or prior <br /> for indicating exemption.** <br />Please see attached spreadsheet listing employee personnel files to be purged/digitally imaged. <br />* Will be purged <br />Will be digitally imaged <br />*"* If non-medical records, will be purged; if medical records, will be digitally imaged. <br />PREPARED BY: CONSENT BY: <br />Rosa Flores for Date <br />Edward Raya <br />Executive Director of Personnel Services <br />? 'M. a jr- A `__ G _A4-t3 <br />Aand Raya Date <br />Executive Director of Personnel Services <br />RECORDS DESTROYED: <br />Number of Boxes <br />APPROVED BY: <br />4 S /3 <br />'c r Joseph Straka Date <br />Chief Assistant City Attorney <br />19C-8