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Agency Schedule Detail

Authorization Number :  855-1132
Agency Series No. :  RTBC/RRMF
Status :  Active
Agency Web Link : 
Agency :  BWC
Confidential Description :  This report has payroll information included in it.
Division :  BWCRKAD
Vital Description : 
Section :  BWCRKADRTBC
Record Title :  Retrospective Rating Master File / UB 230
Revision :  0
Record Description :  The Retrospective Rating Master File/UB230 is information used to balance payroll and premium for the Retrospective Rating Program. This information allows BWC to ensure that the employer is paying the correct premium. The primary information included in these reports includes changes in the experience modifier (EM), reported payroll and estimated payroll at application. The report also contains any changes in status for the employer such as transfers, combines, ect. This information contained in this file is also used to determine the adjusted premium for an employer who participates in the Retropective Rating Program.
Retention Period Retention Justification Media Code Method of Disposal
Retain for 5 years, then destroy. Once these reports get beyond 5 years they are out of date and no longer useful or referred to. Paper Shred
Retain for 5 years, then destroy. Once these reports get beyond 5 years they are out of date and no longer useful or referred to. Electronic Delete

Approvals

Status Name Title Date
Approved John Cahill Records Coordinator 1/21/2010 12:29:00 PM
Approved Melissa Roach Records Officer 2/8/2010 9:55:00 AM
Approved Michael Hardenbrook Record Administrator 2/16/2010 7:50:00 AM
Approved Martin Meeks State Auditor 2/16/2010 8:52:00 AM
Approved Fred Previts State Archivist 2/16/2010 2:50:00 PM

Notes

Date Reason User

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