(company) Insurance Company

Records Management Statement of Attestation                                                         

 

 

Attestation Summary

The purpose of the (company) Records Management Policy is to define the framework and accountability required for an effective records management program, the goal being that employees have the information they need for effective decision-making, operations, and risk management.

 

In order to fulfill this purpose, the Policy and its Operating Standards outline roles and responsibilities for Allianz personnel.  Record Owners are responsible for compliance with the Records Management Policy and Operating Standards in each of their areas of responsibility, and attest to their level of compliance annually.  

 

Instructions

ü       For the Attestation Statement below, select a green, yellow, or red status for each category.

ü       Attach an Action Plan for any category in a yellow or red status, using the template provided. 

ü       Complete the summary information below.

 

Attestation Statement

I am the Record Owner for the records produced by the job functions of the cost center(s) specified below.   I have read and understand the Records Management Policy and its requirements, as well as the Operating Standards for implementing Policy.  To the best of my knowledge, I attest to the following with regard to the records for which I am responsible:

 

1.       The Record Catalog is complete for the records associated with the business processes in the cost center(s) listed below.

 

q       Green: The Record Catalog includes an inventory of all existing record types.

 

q       Yellow:  The Record Catalog includes 90-99% of all existing record types.

 

q       Red:  The Record Catalog includes less than 90% of all existing record types, or I am unable to verify the percent of record types included.

 

 

Note:  A yellow or red assessment in this category will automatically cause the remaining categories below to be yellow or red.

 

 

 

2.       Record protection is functioning properly.

 

q       Green:  The following conditions must ALL be met:

ü       All record types have been assigned a security classification.

ü       All record types have been assigned an appropriate corresponding security control. 

ü       All security controls are in place. 

 

q       Yellow:  All confidential or strictly confidential record types have been identified and assigned a security classification with an appropriate  corresponding security control, and the control is in place.  However, security controls have been assigned and/or put in place for 90-100% of other record types.

 

q       Red: Applies if ANY of the following conditions exist:

ü       I am unable to verify that 100% of confidential or strictly confidential record types have been identified, classified, and/or controlled.

ü       I am unable to verify that 90% or more of my other record types have been identified, classified, and/or controlled.

 

 

 

3.       Record retention is functioning properly.

 

q       Green:  The following conditions must ALL be met:

ü       All record types have been assigned a retention category

ü       The retention category is correct

ü       All record types are being kept at least as long as the period for that category indicates

 

q       Yellow:  Applies if ANY of the following conditions exist:

ü       95-99% of all record types have been assigned a retention category

ü       95-99% of all record types have a correct retention category

ü       95-99% of all record types are being kept at least as long as the period for that category indicates

 

q       Red:   Applies if ANY of the following conditions exist:

ü       Less than 95% of all record types have been assigned a retention category

ü       Less than 95% of all record types have a correct retention category

ü       Less than 95% of all record types are being kept at least as long as the period for that category indicates

ü       I am unable to verify the percent of completeness with regard to retention category assignment, correctness, or adherence

 

 

 

 

 

 

Summary Information

 

Department or Division

 

 

Cost Center(s)

 

 

Record Owner Name

 

 

Position

 

 

Date Completed