Records Disposal Certificate Form PDF Details

Do you know all of the regulations surrounding document management in the workplace? Regardless of your sector, not maintaining records in accordance with applicable laws and regulations can be a serious compliance issue. One important element is disposing of documents when appropriate - and doing so correctly. A Records Disposal Certificate Form is one way to ensure that proper procedures are followed for secure destruction within an organization. In this blog post, we'll provide an overview of what a Records Disposal Certificate is, why it's needed, who should use it and something about its role as part of a larger document management system in the workplace. Keep reading if you're interested to learn more!

QuestionAnswer
Form NameRecords Disposal Certificate Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesgarbage disposal certificate, certificate of disposal sample, certificate of disposal, used cooking oil disposal certificate template in south africa

Form Preview Example

RECORDSDISPOSALCERTIFICATE

APPLICATION #: _____________________________________

TO: Local Records Commission

Margaret Cross Norton Building

Springfield, IL62756

217-782-7075

DIRECTIONS:

COUNTY: _____________________________________

FROM: _____________________________________

(Agency Division)

ADDRESS: _____________________________________

(Street, P.O. Box)

1.Fill in all blanks and columns.

2.Application item numbers must be listed in numerical order.

3.Record series titles must be listed as they appear on application.

4.Sign and send certificate to above address sixty (60) days prior to disposal

5.Retain records until approved copy is returned.

6.This form can be found online at http://www.cyberdriveillinois.com/.

_____________________________________

(City, ZIP Code)

CONTACTTELEPHONE: (______)_______________________

date. CONTACT EMAIL: ____________________________________

APPLICATION

 

INCLUSIVE

VOLUME OF RECORDS

RECORD SERIES TITLE

DATES

ITEM NO.

(CU. FT. OR MB/GB)

(MONTH/YEAR)

 

 

 

 

 

 

 

 

 

 

 

 

Total Volume from all pages

Cu. Ft. _____

MB/GB _____

If any of the above records are microfilmed, I hereby certify that they have been reproduced in compliance with standards given in Sections 4000.50 and 4500.50 of the Regulations of the Local Records Commissions.

If the records are digitized, I certify that they have been repro- duced in compliance with standards given in Sections 4000.70 / 4500.70 and will be maintained in compliance with standards given in Sections 4000.80 / 4500.80 of the Regulations of the Local Records Commissions.

I hereby certify that, in compliance with authorization received from the Local Records Commission, the records listed above will be disposed of on or after:

Date

Approved by ILSOS

SignatureDate

Print name and title on line above

__________________________________

Prepared by:

(Signature required only if records have been microfilmed or digitized)

 

Printed by authority of the State of Illinois. December 2018 — 1M — LR 4.14

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