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Agency Schedule Detail

Authorization Number :  68550010
Agency Series No. :  OFFI-14
Status :  Active
Agency Web Link : 
Agency :  BWC
Confidential Description :  The records contain the injured workers’ claim numbers and addresses. When warrants are issued to the medical providers their provider numbers are listed. The microfilm contains warrant numbers, signatures and payment information (compensation, medical benefits and attorney fees).
Division :  BWCOFFI
Vital Description : 
Section :  BWCOFFIMICR
Record Title :  Microfilm of Cashed Warrants (Rolls of Film)
Revision :  2
Record Description :  The rolls of film contain copies (front and back) of checks cashed by the claimants, medical providers, and attorneys.
Retention Period Retention Justification Media Code Method of Disposal
Retain 10 years, then destroy. Used as evidence to prove workers compensation fraud. Microform Burn

Approvals

Status Name Title Date
Approved Kevin Gartrell Records Coordinator 5/18/2010 11:40:00 AM
Approved Melissa Roach Records Officer 5/20/2010 8:30:00 AM
Approved Michael Hardenbrook Record Administrator 5/26/2010 7:56:00 AM
Approved Martin Meeks State Auditor 5/26/2010 9:32:00 AM
Approved Fred Previts State Archivist 6/2/2010 12:41:00 PM

Notes

Date Reason User
8/24/2022 9:57:02 AM we use 855-0313 instead JEFF Hitch

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