AGENCY: Department of Human Services. Office of Fiscal Operations

SERIES: 28128
TITLE: Request for primary/secondary non-contracted provider record creation/update forms
DATES: 2003-
ARRANGEMENT: Alphabetical by provider name.

DESCRIPTION: These records include all forms and documentation submitted by primary and secondary non-contracted providers, including copies of W-9s and Social Security cards. Once input into CAPS (Contracts Approvals & Payments System), these records are destroyed and the record in CAPS is maintained as the record copy.

RETENTION

Retain until administrative need ends

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series is authorized by Archives general schedule Transitory tracking records, GRS-1720

AUTHORIZED: 03/11/2022

FORMAT MANAGEMENT

Paper: Retain in Office until administrative need ends and then destroy.

APPRAISAL

Administrative Fiscal

PRIMARY DESIGNATION

Public

SECONDARY DESIGNATION

Private. Utah Code 63G-2-302(1)(a), (1)(b), and (1)(h)

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