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855-1174
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BWC/ BWCSHYG/
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S&H 31
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Safety & Hygiene Injury, Occupational Illness and Accident Statistical Records – Minor Research
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11/03/2016
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855-1175
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BWC/ BWCFDAD/ BWCFDADPRCH
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PRCH-2
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Suppliers Proposals Successful and Non-Successful
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03/12/2018
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855-1176
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BWC/ BWCLAWS/ BWCLAWSLEGL
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LEGL - 131
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Journalist Injured Worker Requests
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06/22/2017
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855-1178
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BWC/ BWCCLMS/
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C-34
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Lump Sum Settlement (LSS) Dashboard
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01/17/2018
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855-1179
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BWC/ BWCCLMS/
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C-36
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Wage Referral Form
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02/26/2018
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855-1180
|
BWC/ BWCCLMS/
|
C-35
|
BWC ICD Modifications Requests list
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02/26/2018
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855-1181
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BWC/ BWCFDAD/ BWCFDAD
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Payroll17
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Request For Leave RFL
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03/12/2018
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855-1182
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BWC/ BWCEMPS/ BWCEMPSOSTC
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OSC-4
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Other States Coverage (OSC) Application Services Fee Documents
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03/21/2018
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855-1183
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BWC/ BWCLAWS/ BWCLAWSFSIU
|
SVIU-01
|
SVIU Investigations
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04/26/2018
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855-1184
|
BWC/ BWCLAWS/ BWCLAWSLEGL
|
SIRP-01
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Self-Insured Review Panel (SIRP) Files
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04/26/2018
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855-1185
|
BWC/ BWCHUMA/ BWCHUMAEEOO
|
HUMA-5
|
Exit Interview Questionnaire and Letter
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04/26/2018
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855-1186
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BWC/ BWCFDAD/ BWCFDADBPAY
|
BPAY-CCLB
|
Court Cost Litigation Bills
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|
07/20/2023
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855-1187
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BWC/ BWCFDAD/ BWCFDAD
|
EMP-COMP1
|
Employer Compliance Tracker
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08/13/2018
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855-1188
|
BWC/ BWCFDAD/ BWCFDADMAIL
|
REAL1
|
Maintenance Service Records
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|
08/30/2018
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855-1189
|
BWC/ BWCEMPS/ BWCEMPSOSTC
|
OSC-3
|
Other States Coverage (OSC) Employer Premium Audit Documents
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|
09/10/2018
|
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855-1190
|
BWC/ BWCEMPS/ BWCEMPSOSTC
|
OSC-2
|
Other States Coverage (OSC) Employer Underwriting Documents
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|
|
09/10/2018
|
|
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855-1191
|
BWC/ BWCEMPS/ BWCEMPSOSTC
|
OSC-1
|
Other States Coverage (OSC) Employer Policy File
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|
09/10/2018
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855-1192
|
BWC/ BWCFDAD/ BWCFDADBPAY
|
BPAY-FX
|
Faxes
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|
09/10/2018
|
|
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855-1193
|
BWC/ BWCHUMA/ BWCHUMAPERS
|
HUMA-BC2
|
Drug Test Notification Form & results
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|
|
09/20/2018
|
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|
855-1194
|
BWC/ BWCHUMA/ BWCHUMAPERS
|
HUMA-BC1
|
Background Check Submission Forms and Results
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|
09/20/2018
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