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Agency Schedule Detail

Authorization Number :  855-1184
Agency Series No. :  SIRP-01
Status :  Active
Agency Web Link : 
Agency :  BWC
Confidential Description :  Records may include 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 :  BWCLAWS
Vital Description : 
Section :  BWCLAWSLEGL
Record Title :  Self-Insured Review Panel (SIRP) Files
Revision :  0
Record Description :  These files include Self-insured employers appeals to the Self-Insured Review Panel (SIRP). The files also include the SIRP Order with the decision regarding the appeal, the conference packet prepared by the Self-Insured department, documents submitted by the employer, and BWC attorney handwritten notes.
Retention Period Retention Justification Media Code Method of Disposal
Retain paper files 30 days after scanning, then destroy. Paper Shred
Retain for five (5) years in Legal UDS and SIRP SharePoint. Electronic Delete

Approvals

Status Name Title Date
Approved Jeff Hitch Records Coordinator 3/14/2018 1:15:00 PM
Approved Melissa Roach Records Officer 4/13/2018 9:22:00 AM
Approved Bunnie Jones Record Administrator 4/23/2018 4:01:00 PM
Approved Fred Previts State Archivist 4/25/2018 2:39:00 PM
Approved Martin Meeks State Auditor 4/26/2018 9:56:00 AM

Notes

Date Reason User

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