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Destruction Certification Form - Indiana

Destruction Certification Form - Indiana 2025

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The document is a Destruction Certification Form for microfilmed court records, issued by the Indiana Supreme Court's Division of State Court Administration. It outlines the process for certifying that court records have been properly microfilmed according to established standards and retention schedules before their destruction. The form requires documentation of compliance with specific administrative rules, including verification of microfilm quality and maintenance of necessary documentation files.

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What is certification of destruction?

A certificate of destruction or CoD is a document that states receipt and destruction of confidential data. Certificates of Destruction are issued by service providers as a statement of the completion of the destruction of electronics, documents, hard drives, and other data containing media.

What is the process for the destruction of medical records?

Different media require different methods of destruction: shred, burn, or pulverize paper records; recycle or shred microfilm or microfiche; purge and destroy computerized records. Whatever method is used, ensure that third parties cannot discern or reconstruct patient information from destroyed records.

What processes must be followed when destroying medical records in Indiana?

Paper documentation containing PHI must be shredded or placed in a secure bin. Protected Health Information must not be discarded in trash cans, unsecured recycle bins or other areas accessible by the public.

Which is an acceptable method for disposing of medical records?

Pulverizing and pulping are especially effective for the destruction of medical records and other paper-based PHI to prevent any possibility of data reconstruction. Both methods are adequate for the destruction of protected health information contained in physical media.

What are the five methods of destroying records?

(a) For paper records containing information that is confidential or exempt from disclosure, appropriate destruction methods include burning in an industrial incineration facility, pulping, pulverizing, shredding, or macerating.