Agency Schedule Detail

Authorization Number : 440-0342

Agency Series No. : 36-08

Status : Active

Agency Web Link :

Agency : DOH

Confidential Description : N/A-Load

Division : DOH4000

Vital Description : N/A-Load

Section :

Record Title : Bureau of Workers' Compensation Claim Fo

Revision : 0

Record Description : Contains copies of Bureau of Workers' Compensation Forms that are with ODH employee accident form and used for occupational safety & health Administration (OSHA)

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain for 5 years, then destroy.	Pursuant to 29 CFR Sec. #1904.2	Paper	Shred

Approvals

Status	Name	Title	Date
Approved	Transfer User	Records Viewer	7/27/1992 12:00:00 AM

Notes

Date	Reason	User