Agency Schedule Detail

Authorization Number : 855-1186

Agency Series No. : BPAY-CCLB

Status : Active

Agency Web Link :

Agency : BWC

Confidential Description : Yes, these records contain Injured Worker claim numbers and vendor EIN tax numbers.

Division : BWCFDAD

Vital Description :

Section : BWCFDADBPAY

Record Title : Court Cost Litigation Bills

Revision : 1

Record Description : These records contain court cost litigation bills received from the Attorney General office (AG) relating to Injured Worker claims that went through the court system. The invoices are to pay the court expenses approved by the AG office and are scanned into the Benefits Payable UDS Warrant system by claim number. This would include but not limited to other types of POD payments processed such as C-60's, C-19's C-31RE's & SIFs.

Retention Period	Retention Justification	Media Code	Method of Disposal
Scan then retain for 30 days then destroy		Paper	Shred
Retain the court cost litigation email for 30 days for quality control and then dispose as a confidential record.		Electronic	Delete

Approvals

Status	Name	Title	Date
Approved	JEFF Hitch	Records Coordinator	6/15/2023 3:19:18 PM
Approved	Colleen Cottrell Erdman	Records Officer	7/14/2023 12:46:34 PM
Approved	Terri Dittmar	Record Administrator	7/18/2023 7:34:23 AM
Approved	Martin Meeks	State Auditor	7/19/2023 7:48:23 AM
Approved	Fred Previts	State Archivist	7/20/2023 9:24:25 AM

Notes

Date	Reason	User