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Agency Schedule Detail

Authorization Number :  855-1095
Agency Series No. :  DNIED/SIDN
Status :  Active
Agency Web Link : 
Agency :  BWC
Confidential Description :   
Division :  BWCRKAD
Vital Description : 
Section :  BWCRKADSELF
Record Title :  Denied Self Insured Identification Number (SIDN) Application File
Revision :  1
Record Description :  The Denied Self Insured Identification Number (SIDN) Application File is an application that is denied self insurance, and the employer is given 14 days to appeal to the Self Insured Review Panel (SIRP). The Self Insured Identification Number (SIDN) Application File is scanned into the Universal Document Service (UDS). The Universal Document Service (UDS) is an imaging concept that stores any type of electronic file, such as Microsoft Office documents, Adobe Acrobat, audio/video, Computer Aided Design (CAD), etc. as well as scanned images.
Retention Period Retention Justification Media Code Method of Disposal
Retain for 1 year, and then destroy as confidential. Electronic Delete
Scan the original document into UDS, verify the scanned image is readable, and then destroy. Paper Shred

Approvals

Status Name Title Date
Approved Kevin Gartrell Records Coordinator 2/20/2013 12:02:00 PM
Approved Melissa Roach Records Officer 2/22/2013 7:33:00 AM
Approved Bunnie Jones Record Administrator 2/25/2013 12:43:00 PM
Approved Martin Meeks State Auditor 2/25/2013 2:54:00 PM
Approved Fred Previts State Archivist 3/1/2013 3:16:00 PM

Notes

Date Reason User

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