RIMS Home RIMS Home
  • General Schedule List
  • Agency Schedule Search
  • Agency-Adopted General Schedule Search
  • Agency/Division/Section
  • State User Login

Agency Schedule Detail

Authorization Number :  855-1107
Agency Series No. :  EMPL/REAPP
Status :  Active
Agency Web Link : 
Agency :  BWC
Confidential Description :   
Division :  BWCRKAD
Vital Description :  This is information for employers that renew their self insurance every year.
Section :  BWCRKADSELF
Record Title :  Self Insured (SI) Employer Renewal Application
Revision :  1
Record Description :  The SI employer has to file a Renewal Application (SI7) each year to renew their self insurance. The employer provides the BWC Self Insured Department with the most current information such as name, addresses, subsidiaries, locations, and parent information, including financial information. From the information the employer provided, the underwriting department will update the records to reflect the most current information. The Self Insured (SI) Employer Renewal Application 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
Scan the original document into UDS, verify the scanned image is readable, and then destroy. Paper Shred
Retain for 10 years after the employer has gone out of business, and then destroy. Possible litigation or an appeal to the Self Insured Review Panel (SIRP). Electronic Delete

Approvals

Status Name Title Date
Approved Kevin Gartrell Records Coordinator 2/20/2013 12:07:00 PM
Approved Melissa Roach Records Officer 2/22/2013 7:34:00 AM
Approved Bunnie Jones Record Administrator 2/25/2013 12:44:00 PM
Approved Martin Meeks State Auditor 2/25/2013 2:55:00 PM
Approved Fred Previts State Archivist 3/1/2013 3:19:00 PM

Notes

Date Reason User

Back to List  

Records Management
Records Management
  • Home
  • Contact/Help
  • Home
  • Contact/Help

© 2025 - RIMS, State of Ohio

© 2025 - RIMS, State of Ohio