Authorization Number : 855-1191
Agency Series No. : OSC-1
Status : Active
Agency Web Link :
Agency : BWC
Confidential Description : Records may include medical records, the claimant’s name, the residential address, the name of the employer, the address of the employer, the social security number and the residential telephone number.
Division : BWCEMPS
Vital Description :
Section : BWCEMPSOSTC
Record Title : Other States Coverage (OSC) Employer Policy File
Revision : 0
Record Description : Policy information for OSC including: completed applications for coverage on the ACORD 130 form, supplemental applications, quotes for coverage, copies of issued policies, endorsements, cancellation notices, non-renewal notices, denial letters. All documents are saved into UDS.