Weight Loss Medication flyer without insurance coverage

Identification

• Title: Weight Loss Medication flyer without insurance coverage
• Expanded Number: FORM/001152
• Date Created: Friday, September 26, 2025 at 8:57 AM
• Date Registered: Friday, September 26, 2025 at 9:00 AM
• Accession Number: 0
• Record Class: Municipal
• Content Manager Barcode: R03000OV1V
• Record Type: Form (Blank) / Cheat Sheet
• Latest Version: FORM/1152

Parts

• First Part: FORM/1152
• Latest Part: FORM/1152
• Is Part: No

Archiving

• Retention Schedule: 040.130 Forms - Blank (TRIM rt); Notes: CMRRS RECORD DEFINITION: Blank forms are not considered to be records and should be separated from the records. However, a master forms file may be maintained to track the evolution of the form and instructions regarding use of the form.; CMRRS RETENTION: Until superseded, except retain 1 copy permanently if master forms file is maintained [Master forms file NOT maintained by City. mbc]; TRIM record type = Form (Blank) / Cheat Sheet; Action Summary: Destroy after Date Superseded / Replaced / Revised (Additional Field)
• Disposition: Active
• Disposal Schedule: Make Inactive: No Relevant Triggers; Destroy: Waiting on Trigger Date
• Date Due for Destruction: Waiting on Trigger Date
• Last Action Date: Sunday, December 7, 2025 at 5:50 PM

Container

• Is a container: No