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Records Retention and Destruction Form 2026
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- Click ‘Get Form’ to open the Records Retention and Destruction Form in the editor.
- Begin by filling in the department and division fields at the top of the form. This information is essential for identifying which records are being addressed.
- Enter the date of the notice in the designated field to establish a timeline for record destruction.
- In the 'Notice of Intent' section, check the method of destruction that applies: shredding, landfill, recycle, or other. This specifies how you plan to dispose of the records.
- Indicate whether recordings are being replaced with imaging by selecting 'yes' or 'no'.
- Certify that all records listed for disposal are accurate and that audit requirements have been met by typing your name and title in the appropriate fields.
- Finally, submit your authorization for destruction by checking either 'Approved' or 'Denied', and ensure to sign and date where indicated.
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This form captures and documents the actual date that records are destroyed.
must maintain a written record containing: (i) date of return or destruction; (ii) name, form, quantity of the substance returned or destroyed; Practitioners
This form is required only for the destruction of the record copy of state records. The record copy is the official copy that must be maintained for the period