AZ Certificate of Records Destruction - HR

Eligible to 
Destroy 
Date
Revised 0 20
An Equal Opportunity Employer
CERTIFICATE OF RECORDS DESTRUCTION
Polly Rosenbaum State Archives and History Building
1901 W. Madison St. • Phoenix, Arizona 85009 • Home Page: http://www.azlibrary.gov/records
Phone:  (602) 926-3815  •  FAX:  (602) 256-2838  •  E-Mail:  records@azlibrary.gov
Records Officer Signature:
E-Mail:
Date:
Records Officer Approval (type or print name):
Title (type or print):
Phone :
Department
Office/Unit
Record Series Title as Stated on Approved Schedule
Schedule Number 
or Date
Item # Records Start 
Date
Records End 
Date
Format:
Paper, Digital, 
Microfilm
# of Files, Boxes, 
Reels; Electronic 
File Size
As authorized under ARS §41-151.19, "...A report of records destruction that includes a list of all records disposed of shall be filed at least annually 
with the state library on a form prescribed by the state library."
Failure to comply with these procedures is a violation of ARS §41-151.19.
Public Body
Division
ARIZONA STATE
A DIVISION OF THE ARIZONA SECRETARY OF STATE
LIBRARY, ARCHIVES AND PUBLIC RECORDS
City of El Mirage
Human Resources
Employee Personnel Records, Official Copy
GS-1006, Rev. 2
20704
01/11/2002
10/31/2019
11/01/2024
Paper
24 files
I-9 Forms
GS-1006, Rev. 2
20730
11/01/1999
11/3/2023
11/4/2024
Paper
48 files
Hiring/Selection Records, All Others
GS-1006, Rev. 2
20722
07/14/2020
11/28/2021
05/29/2024
Paper
36 files
Human Resources Director
623-876-2949
dkurek@elmirageaz.gov
10/17/2023
Dawn Kurek