Agency Schedule Detail

Authorization Number : 855-0987

Agency Series No. : MICR-9

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 warrants contain warrant numbers, sequence numbers and payment information (cash dates and amount of the compensation).

Division : BWCOFFI

Vital Description :

Section : BWCOFFIMICR

Record Title : Microfiche Index of Cashed Warrants

Revision : 1

Record Description : The microfiche is used to obtain copies of warrants that were cashed by the claimants, medical providers, and attorneys.

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain in the Microfilm Unit for 10 years.	Retain for possible fraud investigations.	Microform	Burn

Approvals

Status	Name	Title	Date
Approved	Kevin Gartrell	Records Coordinator	6/3/2010 12:00:00 PM
Approved	Melissa Roach	Records Officer	6/4/2010 9:39:00 AM
Approved	Michael Hardenbrook	Record Administrator	6/10/2010 9:14:00 AM
Approved	Martin Meeks	State Auditor	6/10/2010 11:02:00 AM
Approved	Fred Previts	State Archivist	6/15/2010 10:23:00 AM

Notes

Date	Reason	User
8/24/2022 10:04:26 AM	Requested to be made Obsolete, to use 855-0313 instead.	JEFF Hitch