Authorization Number : 855-0994
Agency Series No. : RTUN 8
Status : Active
Agency Web Link :
Agency : BWC
Confidential Description :
Division : BWCRKAD
Vital Description :
Section : BWCRKADRTUN
Record Title : AC-3 Temporary Authorization form
Revision : 1
Record Description : The AC-3 is a Temporary Authorization form submitted by the Third Party Administrator (TPA). The AC-3 gives the TPA temporary authorization to review and work on certain BWC matters on the employer’s behalf. The AC-3 is date stamped then scanned into the Universal Document Service (UDS) to retained for reviewing purposes by BWC if needed. The AC-3 is good for only nine months after it has been date stamped by BWC. After the nine month period is reached, the TPA is unable to review or work on any BWC matters for that employer.