ADD CYNTHIA AS COUNTY RECORDS MGR - AZLAPR.PDF
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SECRETARY OF STATE ARIZONA STATE LIBRARY, ARCHIVES AND PUBLIC RECORDS A DIVISION OF THE ARIZONA SECRETARY OF STATE NOTICE OF AGENCY RECORDS OFFICER Pursuant to ARS § 41-151-14 "The head of each state and local agency shall designate an individual to be the Records Officer Liaison (RO) to the State Librmy eve,y other yea,: The Records Officer must be at a level of management sufficient to direct the records management program in an efficient and effective manner and shall act as coordinator and liaison for the agency with the State Libra1J1." Instructions: Fill out this form to notify the State Library of an addition, deletion, or change of the Records Officer, or to update the Records Officer contact information. Return the signed form to the address below. ACTION: V Add as RO Remove as RO Update contact information Agency: Division, Department or Unit Name: Maricopa County Information Governance Records Officer's Name: Title: Cynthia Zbiegien Director Information Governance Mailing Address: 301 W. Jefferson, 10th floor, Phoenix, AZ 85003 E-mail Address: Phone Number: cynthia.zbiegien@maricopa.gov 602-372-1031 Does the Records Officer have authority to set policy or procedure? ti' YES I designate the above individual as Records Officer for Maricopa County Public Body Title Head of Agency or Designee (type or print): Title (type or print): BOS Signed (Head of Agency or Designee): Date: For Records Management Use only: This Designation Expires on or before: Certified By: Revised 10/2023 Date: Records Mana emenl Sta[( ARCHIVES AND RECORDS MANAGEMENT 1901 West Madison Street• Phoenix, Arizona 85009 (602) 926-3720•records@azlibrary.gov•http://www.azlibrary.gov/ann □ NO