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)