AGENCY: Department of Health and Human Services. Division of Substance Use and Mental Health. State Hospital

SERIES: 10302
TITLE: Patient W-4s and social security numbers records
DATES: 1990-
ARRANGEMENT: chronological

DESCRIPTION: These records document patient federal W-4 and social security numbers. Patients complete this information in order to place them on the industrial payroll at the Utah State Hospital. This is a requirement for payment for services that patients perform. Information includes name, social security number, marital status, exemptions, address, employer, and employer identification number.

RETENTION

Retain for 10 year(s) after separation

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series were specifically approved by the State Records Committee.

APPROVED: 12/1992

FORMAT MANAGEMENT

Paper: Retain in Office for 10 years or until patient is discharged and then destroy.

APPRAISAL

Administrative

This disposition is based on the needs expressed by the agency.

PRIMARY DESIGNATION

Private