Authorization Number : 855-0926
Agency Series No. : SIST-1
Status : Active
Agency Web Link :
Agency : BWC
Confidential Description : Records contain Policy Numbers, Date of Injury, Social Security Numbers, and complaints.
Division : BWCRKAD
Vital Description :
Section : BWCRKADSIST
Record Title : Self Insured Complaints – SI28
Revision : 3
Record Description : The Self Insured Complaints – SI28 forms are filed against a self-insured employer. The Self Insured Complaints are 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.