AGENCY: Department of Health and Human Services. Community Health and Well-Being. Division of Population Health. Office of Health Promotion and Prevention

SERIES: 80201
TITLE: I quit for life flexplan credit applications file
DATES: 1986-unknown.
ARRANGEMENT: Alphabetical by name

DESCRIPTION: This is a record used to verify that an individual is active in this rebate program. This record includes name, home address, department, work address, date of testing, social security number, home phone, work phone, signature and date of individual, supervisor signature and date and verified by.

RETENTION

Retain for 3 year(s) after expiration of contractual agreement

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series were specifically approved by the State Records Committee.

APPROVED: 06/1988

FORMAT MANAGEMENT

Paper: Retain in Office for 3 years after contract ends and then destroy.

APPRAISAL

Administrative

PRIMARY DESIGNATION

Private

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