Agency : BWC
Confidential Description : These records may contain Injured Worker Claim & Social Security numbers, Employer policy numbers, vendor SSN or Tax ID No, Bank Account numbers & Route Numbers.
Revision : 0
Record Description : These records contain various documents received from internal, as well as external customers, related to Injured Worker claims, employers, medical providers, and other payees. These documents are processed based upon what they are related to. They are all scanned to Benefits Payables UDS Warrants system. Documents include: A-42 Voice Authorization for direct deposit, C-19 Service Invoices for Funeral/Job Mod/Medical Police reports, C-170 Warrant Stop Pays, C-60 IW Travel Reimbursement, EFT applications, POA/Guardianship papers, Fulfillment & Check Logs from DAS State Printing, and other misc. documents.