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The following schedule of records and retention periods approved by the Wisconsin Department of Administration Public Records Board on June 6, 2005 shall apply at the Kenosha County Joint Services Board.

KENOSHA CITY/COUNTY JOINT SERVICES

Proposed Records Retention Schedule

Record Title

Record Purpose

Proposed Retention Period

Alarm Subscriber Contract

Original contract between Parkland and alarm subscriber

7 years after the last effective day thereof 59.52(4)(a)(10)

Alarm Subscriber Cancellation Notices

Informs Board of company’s desire to be terminated from alarm board

3 years after termination of contract

Applications / Candidate Files

Candidate information for employment purposes

7 years after expiration of eligibility list

Audit Reports

Yearly financial activities

Permanently

Audit Trails

Generated from Firstar Payroll Services. Computer analysis of payroll information

Current fiscal year and 4 back fiscal years (FIS+4 years)

Background Investigation Results

Documents results of background investigation efforts for candidates

7 years after expiration of eligibility list

Bank Statements Cancelled Checks, Check Stubs, FlexBen Checking

Documents transactions from bank on a monthly basis

10 years

(Cancelled Checks are 7 years per 59.52(4)(a)(16))

Bloodborne Pathogen Exposure, Medical Record of

Declaration of unsafe exposure incident

Duration of employment plus 30 years 29 CFR 1910.20, per Safety Manual

Board Agendas* Board Minutes*

Records transactions at meetings

Permanent*

Budget, Final Copy

Board approved copy

Permanently

Budget Records

Worksheets used to prepare budget information

7 years

CAD Online Printout

Records all dispatch activity in CAD

7 years

Cash Register “Z” Tapes

Tape of daily cash register activity

7 years, per Corp. Counsel Opinion 94-4

Cash Register “X” Tapes

Tape of daily cash register activity. Duplication of Z tape

Current fiscal year and 4 back fiscal years (FIS+4 years)

Clothing Allowance Voucher

Request made by employee for reimbursement for clothing expenses. Also captured on earnings register

Current fiscal year and 4 back fiscal years (FIS+4 years)

Deferred Compensation Information

Information generated from Citistreet and/or Nationwide Retirement Solutions detailing employee contributions

7 years, per Corp. Counsel Opinion 94-4

Department Payroll Summary

Generated by departments. Source document for master payroll information. Also captured on Earnings Register

10 years (7 years required, per Corp. Counsel Opinion 94-4)

Earnings Register ADP Records

Tracks all employee payroll information; hours worked, taxes, department totals

10 years

Evidence/ID - Incident Photographs and Negatives

Crime scene photographs

10 years

(8 years required per 59.27(8))

Evidence/ID - Inmate Photograph and Photograph Record

Mugshot at time of booking

8 years, per 59.27(8)

Evidence/ID - Latent Log Books

Log of latents submitted by officers

7 years

Evidence/ID - Lost and Found Notebooks

Log of lost and found property

7 years

Evidence/ID - Old Jail Identification Number Log Books

Log of identification numbers assigned and names

7 years

Evidence/ID - Photo Log Book

Log of film rolls sent out for processing

7 years

Evidence/ID - Property Log Number Book

Log of evidence turned in and the unique number that is assigned

7 years

Evidence/ID - Sign In/Out Logs

Log of persons who have entered Evidence Rooms A and B or the lab (after hours)

7 years

False Alarm Report - Chargeable

Requesting payment for false alarm charges

7 years, per Corp. Counsel Opinion 94-4

False Alarm Report - Nonchargeable

Report/invoice for alarm determined not to be chargeable. Info also maintained in calls for service

7 years, per Corp. Counsel Opinion 94-4

False Alarm Yearly Report

Documents entire year’s false alarm activity

7 years

Financials - Accts Payable

Check Reconciliation, Check Register, Journal Entries

Current fiscal year and 4 back fiscal years (FIS+4 years)

Financials - Accts Receivable

JARUPDAT Invoice Register, Journal, Acct Distribution Listing, Invoices

Current fiscal year and 4 back fiscal years (FIS+4 years)

Financials - Accts Receivable Reports

JAROPEN, JARREPORT, JARSTMTS Open Accts Receivable Invoices, Monthly Distribution Listing, Payment Register, Open by Year, Status, Department, and Statement Register

Current fiscal year and 4 back fiscal years (FIS+4 years)

Financials - Daily Cash

JDC FINAL Accts Receivable Payment Register, Journal Balance

Current fiscal year and 4 back fiscal years (FIS+4 years)

Financials - Daily Journals

JFN DAILY Journal entries from prior day

Current fiscal year and 4 back fiscal years (FIS+4 years)

Financials - JGLEDGERS (Updated)

JGLEDGERS Monthly financial activity

Permanent

Financials - JPOFINAL

JPOFINAL

Purchase Order Transactions, changes, Outstanding

Current fiscal year and 4 back fiscal years (FIS+4 years)

Fixed Asset Inventory Log

Documents assets as per GASB

Permanent

FMLA Chart

Tracks yearly State and Federal FMLA days

3 years after leave ends

FMLA Disability Leave Request

Leave request and physician’s statement

3 years after leave ends

FMLA Disputed Designation

Records dispute over the designation of FMLA leave

3 years after the leave ends or the request is denied

FMLA Leave Days

Payroll instructions on how to charge the FMLA day

3 years after leave ends

FMLA JSM 94-FMLA

Response to Request for FMLA

3 years after leave ends

FMLA State and Federal FMLA Worksheet

Optional form that assists Director in granting of FMLA requests

3 years

Fuel Print Outs

Documents fuel usage of squads and other vehicles for billing purposes

7 years

Green Sheets

Documents signed by employees confirming days off and reason

Current year plus 2 years, per Corp. Counsel Opinion 94-4

HIPAA - Authorizations, all signed

Document of authorization

6 years from either the date it was created or the date it was last in effect, whichever is later

HIPAA - Business Associate Agreements

Records agreement between the Agency and business associates with respect to HIPAA

6 years from either the date it was created or the date it was last in effect, whichever is later

HIPAA - Employee Training Documents

Training manual documentation and procedures

6 years from either the date it was created or the date it was last in effect, whichever is later

HIPAA - Entity Status

Information on whether an entity is a hybrid or affiliated entity or an organized health care arrangement

6 years from either the date it was created or the date it was last in effect, whichever is later

HIPAA - Individual Complaints

Document of individual complaints and their outcomes

6 years from either the date it was created or the date it was last in effect, whichever is later

HIPAA - Individual Rights Forms

Documentation regarding the following individual rights:

1. Right to request amendment of PHI (form4)

2. Right to an accounting of disclosures of PHI (form 5)

3. Right to inspect and obtain copies of PHI (form 3)

4. Right to request restrictions on uses and disclosures of PHI (form 1)

5. Right to request confidential communications of PHI (form 2)

6 years from either the date it was created or the date it was last in effect, whichever is later

HIPAA - Minimum Necessary Policies and Procedures

Agency’s policy on Minimum Necessary, including protocols for PHI use, routine disclosures and requests

6 years from either the date it was created or the date it was last in effect, whichever is later

HIPAA - Plan Document and Summary Plan Description

Description of the plan

6 years from either the date it was created or the date it was last in effect, whichever is later

HIPAA - Plan Sponsor Certifications

Certification to the Plan regarding Plan amendments and firewalls

6 years from either the date it was created or the date it was last in effect, whichever is later

HIPAA - PHI Disclosures

Records of disclosures that are required to be accounted for under the Privacy Standards

Must be made available to an individual for six (6) years after the request date OR 6 years from either the date it was created or the date it was last in effect, whichever is later

HIPAA - PHI Use and Disclosure

Records on any PHI use and disclosure for research purposes, as allowed without authorization under the Privacy Standards

6 years from either the date it was created or the date it was last in effect, whichever is later

HIPAA - Policies on PHI uses and disclosures

Agency’s policy on use of PHI and its disclosures

6 years from either the date it was created or the date it was last in effect, whichever is later

HIPAA - Privacy Notice

Notice of Privacy Practices

6 years from either the date it was created or the date it was last in effect, whichever is later

HIPAA - Sanctions Imposed

Records of any sanctions imposed in connection with non-compliance with the Privacy Standards

6 years from either the date it was created or the date it was last in effect, whichever is later

Hiring Process Folders

Documentation of each hiring process

Permanent

Income Statements

Revenues and expenditures for each month

Current fiscal year and 4 back fiscal years (FIS+4 years)

Individual Health Claim Files

Health insurance claims processing documents

7 years from the date paid

Insurance Policies - Expired

Reflects previous coverages

7 years after the last effective day thereof 59.52(4)(a)(10)

Invoices Purchase Orders Statements Purchase Requisitions Copies of Checks

Accounts payable information documenting purchasing transactions. Filed as a packet.

10 years

Invoices / Statements for clients (Fleet Maintenance Department)

Requesting payments for various charges

7 years

Kenosha County Detail Listing of Obligations versus Budget

Documents County’s expenditures to Joint Services to date and future obligations

Upon confirmation of amounts

Kenosha County Payment Voucher

Originated from County. Completed by Joint Services to request monthly operating monies

Current fiscal year and 4 back fiscal years (FIS+4 years)

Ledger Sheets; general ledger sheets, subsidiary ledger sheets, Trust account ledger

Captures and summarizes information from journal sheets

7 years required, per Corp. Counsel Opinion 94-4

Life Insurance Census Report

Confirms employee earnings and coverage amounts for life insurance purposes

Current fiscal year and 4 back fiscal years (FIS+4 years)

Logging Tapes (Radio / Phone Logs)

All voice transmissions in dispatch are recorded for investigative purposes

120 days

Master Payroll Information

Generated from Administration for payroll. Information also captured on earnings register

3 years, per Corp. Counsel Opinion 94-4

Mileage Trip Sheet

Documents all odometer readings and purpose for agency’s vehicle usage

Current fiscal year and 4 back fiscal years (FIS+4 years)

OSHA Form 200

Log of workers’ injuries

5 years, per Public Law 91.596 and 29 CFR 1904

OSHA Forms 300 and 300A

Log and summary of work related injuries and illnesses

5 years following the year to which they pertain, per Public Law 91.596 and 29 CFR 1904

Overtime Posting

Notice of voluntary and mandatory overtime opportunities on which employees sign up

1 year after the record is made

Overtime Reports and Charts

Monthly record of department’s hours and costs for overtime

Current fiscal year and 4 back fiscal years (FIS+4 years)

Parts Inventory Listing

Keeps track of inventory on a monthly basis. Also captured on the year-to-date report

Current fiscal year and 4 back fiscal years (FIS+4 years)

Parts Inventory - Year to Date Report

Tracks inventory on an annual basis

Permanent

Payroll Adjustment Forms

Generated from Firstar Payroll Services. Hard copy of verbal information

Current fiscal year and 4 back fiscal years (FIS+4 years)

PCI Group Number and Identification Number Forms

Assigns identification number to written test participant

7 years

PCI Individual Psychological Assessments

Hiring assessment

7 years

PEI Test Packets (Non-Hired Applicants)

Written test packets for 911 dispatchers

7 years, except if a discrimination complaint has been filed records will be maintained until final disposition of case

Personnel Files for Terminated Employees

Contains all employment information for employee

7 years after termination of employment per Corp. Counsel Opinion 94-4

Physical and Drug Screen Results (Non-Hired Applicants)

Pre-employment physical and drug screen examination results for hiring consideration

7 years for POSITIVE (failed) results

Postage Worksheets

Documents postage used by other departments

Current fiscal year and 4 back fiscal years (FIS+4 years)

Proposal / Bid List / Notices of Taking Bids

Documents bid specifications and proposals from vendors

7 years required per Corp. Counsel Opinion 94-4 and 59.52(4)(a)(10)

Receipts / Deposit Records

Documents deposits

10 years

Receipt Register Report (Laurie’s)

Records daily cash register activity by shift. Duplicate of FM Clerk paperwork

Current fiscal year and 4 back fiscal years (FIS+4 years)

SAFEGUARD Journal Sheets; general journals, cash disbursement journals, accounts receivable journals

Records accounting transactions

7 years

Statistical Reports (Communications)

Hand written logs; lost/found animals; abandoned vehicles; charge card requests; county fire/rescue tests; street / highway closing; attempts to locate

2 years

Supply Requisitions

Department request for items from inventory

Until appropriate charges are posted

Tape Request Forms

Requests by District Attorney, citizens, and other agencies for copies of phone calls and/or radio transmissions

Current year plus 3 years, per Corp. Counsel Opinion 94-4

Tax Forms

Quarterly reports completed by Firstar Payroll Services

7 years, per Corp. Counsel Opinion 94-4

Time Cards

Source document for payroll information. Information also captured on Earnings Register

3 years, per Corp. Counsel Opinion 94-4

Time Documents

Generated by Firstar, lists hours worked by each employee. Information also captured on Earnings Register

7 years

Tow Lists

List of tows called by KSD and KPD officers

4 years, per Corp. Counsel Opinion 94-4

Trade Sheets

Documents signed by employees confirming days off

Current year plus 2 years

Union Contracts

Signed agreement which outlines working conditions and benefits

7 years after the last effective day thereof, 59(4)(a)(10)

Vacancy Packets

Documents position and shift vacancies and the process of filling that vacancy

Permanent

Vehicle Maintenance

Documents daily work for vehicles for billing purposes. Also captured on statements

Current fiscal year and 4 back fiscal years (FIS+4 years)

W2’s

Employer copy of W2

7 years, per Corp. Counsel Opinion 94-4

Wisconsin Retirement System Annual Reconciliation Report

Provides employee salary information to WRS for pension purpose

7 years, per Corp. Counsel Opinion 94-4

Wisconsin Retirement System Employee Transaction Report

Submitted to WRS upon termination of employee

7 years, per Corp. Counsel Opinion 94-4

WKC-12-E Employer’s First Report of Injury

Employee injury report form

5 years

Yearly Attendance Records

Summarizes employee work schedules and exceptions to schedule on an annual basis

Maintained throughout employee’s tenure

9-1-1 Online Print Out - Generated up to 12/99

24 hour record of 9-1-1 calls being received

3 years in addition to current year, per Corp. Counsel Opinion 94-4

9-1-1 Daily Call Report

24 hour record of 9-1-1 calls being received (different format from above)

7 years in addition to current year, per Corp. Counsel Opinion 94-4

9-1-1 Update Error Report

Daily report of database corrections

1 year in addition to current year, per Corp. Counsel Opinion 94-4

9-1-1 Position and Time Report

Chronological record of all 9-1-1 calls, listing times, trunks, transfers, and hang ups

3 years in addition to current year, per Corp. Counsel Opinion 94-4

*If the retention of Board Agendas and/or Minutes changes from permanent, these records will be offered to the Wisconsin Historical Society, Wis. Stat. 19.21

[Code § 3.6451.]