Authorization Number : 855-0388
Agency Series No. : RCDS-5
Status : Active
Agency Web Link :
Agency : BWC
Confidential Description : Records may contain claim numbers, social security numbers, employer risk numbers, financial information, provider numbers, and names of injured workers, employers, and providers. This record provides transaction documentation as required by internal policy and may contain confidential records as defined in ORC 149.43.
Division : BWCLAWS
Vital Description :
Section : BWCLAWSLEGL
Record Title : BWC Service Request for Records
Revision : 6
Record Description : The BWC Service Request for Records (OS-75) is a form used by the BWC departments to document the history of the transactions of records for storage, retrieval, return to storage, and the destruction of records at BWC. It documents the location of the records, the detailed description of the records, the media type (e.g. paper, electronic, CD or microfilm), destruction method, pertinent dates, and the DAS record series authorization number. It also documents the date the records are eligible to be destroyed if they are in storage, or the actual destruction date of the records. The OS-75 form is signed by the Department RIM Coordinator requesting the service of records and is signed by the RIM Coordinator Liaison approving the request. The OS-75 form is also used to certify the destruction of records according to an approved records retention schedule.