Section 4400

Section 4400.APPENDIX B Records Retention Schedule (Application for Authority to Dispose of State Records)

State of Illinois State Records Commission APPLICATION FOR AUTHORITY TO DISPOSE OF STATE RECORDS						Application No. 85-113 Page 1 of 1 Pages

Agency			Recommendation:

Division			Archivist				Date

Subdivision

I hereby certify that the records described in this application are not needed in the transaction of current business and are not of sufficient administrative, legal, or fiscal value to warrant further preservation.
		State Records Commission Approval:

Head of Agency	Date			Chairman

				Secretary

Submit original and two copies to State Records Commission with samples of each item listed.

					Date

Description of items or record series

Item No.

Give title, earliest date, file arrangement, volume, annual accumulation, form numbers, legal requirements affecting retention, and recommended retention period. If microfilmed, the head of the agency shall attach a statement certifying that microfilm copies, made in accordance with the standards of the records commission, will be adequate substitutes for the original records.

Action

Taken

1.	Title:
	Earliest date:
	Volume:
	Annual Accumulation:
	Arrangement:
	Legal Requirements Affecting Retention:
	Recommendation:

(Source: Added at 13 Ill. Reg. 7444, effective May 1, 1989)