NOTICE OF AGENCY RECORDS OFFICER .PNG

SECRETARY OF STATE

A DIVISION OF THE ARIZONA SECRETARY OF STATE

a I tee eR =
Lie yditee o

Adrona State Library, ie
Archives and Public heoords

NOTICE OF
AGENCY RECORDS OFFICER

Pursuant to ARS § 41-151-14 “he head of each state and loeal ageney shall designate an individual ta be the Records
Officer Liaison (RO) to the State Library every other pear. The Records Officer must be at a level of management
sufficient ta direet the records management program in an efficient and effective manner and shall act as coordinator ane

liaison for the agency with the State Library.”

Instructions: Fill out this form to notify the State Library of an addition, deletion, or change of the Records Officer, ar to
update the Records Officer contact information. Return the signed form to the address below.

ACTION: wv

Addas RO

Remove as RO

Update contact information

Agency:
Maricopa County

Division, Department or Unit Name:

Information Governance

Records Officer's Name:
Cynthia Zbiegien

Title:
Director Information Governance

Mailing Address:
301 W., Jefferson, 10th floor, Phoenix, AZ 85003

E-mail Address:
cynthia.zbiegien@maricopa.gov

Phone Number:

602-372-1031

Does the Records Officer have authority to set policy or procedure?

wh YES O No

I designate the above individual as Records Officer for

Maricopa County
Public Body Title

Head of Agency or Designee (type or print);
JACK SELLERS

ifitle ('yDe OF PELR MAN BOARD OF SUPERVISORS

Signed (Head of Agency on Designee):
zw,

MAR 27 2024

Date:

@

For Records Management Use only:

This Designation Expires on or before: