Form Slr 508 - Declaration Of Compliance Form
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1
2Declaration of Compliance
with the Records Scheduling Requirement of the Local Government Records Act
Submitted pursuant to Local Government Code §203.041(a)(2)
Section 1 SUBMISSION OF DATA
1.
Government: ___________________________________________________________
2.
Address: ______________________________________________________________
City: ________________________________ ZIP code: _______
3.
Telephone: ______________
4. Email (optional): _____________________________
Section 2
LOCAL GOVERNMENT CERTIFICATION
As records management officer for the local government or elective county office named, I hereby declare, that in lieu of filing records
control schedules, we have adopted records control schedules that comply with minimum requirements established on records
retention schedules issued by the Texas State Library and Archives Commission (as checked below) for use in our records
management program. In doing so, I also certify that the administrative rules for electronic records, adopted by the commission under
Local Government Code §205.003(a) will be followed for records subject to the rules. I understand that:
•
the validity of this declaration is contingent on its acceptance for filing by the commission;
•
if we have previously filed documentation with the commission in which we declared our intent to retain all records
permanently, we must attach amended documentation to this declaration before it can be accepted for filing;
•
the records retention schedules adopted by this declaration may be amended by filing for approval a supplemental Records
Control Schedule Amendment (SLR 520) on which are listed proposed retention periods for records that do not appear on
schedules issued by the commission (as checked below);
•
if a supplemental Records Control Schedule Amendment is not filed, we must file a Request for Authorization to Destroy
Unscheduled Records (SLR 501) in order to destroy records that do not appear on schedules issued by the commission (as
checked below); and
•
the commission will provide us with access to subsequent editions of any schedules issued by the commission.
1.
I hereby declare that our records control schedules will comply with the following schedules issued by the commission:
Schedule CC (Records of County Clerks)
Schedule LC (Records of Justice and Municipal Courts)
Schedule DC (Records of District Clerks)
Schedule PS (Records of Public Safety Agencies)
Schedule EL (Records of Elections and Voter Registration)
Schedule PW (Records of Public Works and Services)
Schedule GR (Records Common to All Governments)
Schedule SD (Records of Public School Districts)
Schedule HR (Records of Public Health Agencies)
Schedule TX (Records of Property Taxation)
Schedule JC (Records of Public Junior Colleges)
Schedule UT (Records of Utility Services)
2.
If any records control schedules or amendments have been filed with the commission, I also hereby declare that those
schedules or amendments:
are superseded by this declaration.
are not superseded by this declaration. I understand that, in the event of a conflict between the previously filed records control
schedules or amendments and the schedules adopted by this declaration, the longer retention period shall apply.
Name and Title: __________________________________________________________________________
Signature: ________________________________________________________ Date: _________________
Section 3
TEXAS STATE LIBRARY ACCEPTANCE (to be completed by Texas State Library)
This Declaration of Compliance has been accepted for filing pursuant to Local Government Code §203.043(a). A record appearing on a
schedule issued by the commission (as checked above) may be disposed of at the expiration of its retention period without additional
notice to the Director and Librarian, subject to the provisions of Local Government Code §203.041(d).
Name and Title: _____________________________________________________________________________
Signature: _______________________________________________________ Date: _____________________
Texas State Library and Archives Commission
Box 12927
512-463-7610
State and Local Records Management Division
Austin, Texas 78711-2927
512-936-2306 FAX
SLR 508 (5/12)
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