855-0952
|
BWC/ BWCBWCO/ BWCBWCOALLS
|
BWCO-06
|
Settlement Audit Reports
|
|
|
10/18/2006
|
|
855-0955
|
BWC/ BWCBWCA/ BWCBWCA
|
BWCA -10
|
Executive Orders and Proclamations
|
|
|
12/23/2010
|
|
855-0956
|
BWC/ BWCMSAD/ BWCMSADPAFF
|
PAFF-03
|
Audit Report on Cambridge Adjustments; Fee Entry
|
|
|
11/10/2009
|
|
855-0957
|
BWC/ BWCMSAD/ BWCMSADPAFF
|
PAFF-02
|
Cambridge Adjustment Forms
|
|
|
08/11/2008
|
|
855-0959
|
BWC/ BWCFDAD/ BWCFDADBPAY
|
BPAY-1099
|
Internal Revenue Service (IRS) 1099 Listing & W-9’s
|
|
|
05/03/2023
|
|
855-0962
|
BWC/ BWCMSAD/ BWCMSAD
|
MSAD-1
|
Medical Provider Complaint Files
|
|
|
10/28/2010
|
|
855-0963
|
BWC/ BWCFDAD/ BWCFDADBPAY
|
BPAY10
|
Returned Warrants
|
|
|
06/21/2018
|
|
855-0976
|
BWC/ BWCRKAD/ BWCRKADRPRO
|
RPRO-EF
|
Employer Policy File
|
|
|
01/09/2017
|
|
855-0978
|
BWC/ BWCHUMA/ BWCHUMAEEOO
|
HUMA-4
|
Affirmative Action Plan
|
|
|
06/12/2007
|
|
855-0979
|
BWC/ BWCMIAD/ BWCMIADALLS
|
MIAD-WCIS
|
Workers Compensation Insurance System (WCIS) Database Backups
|
|
|
07/29/2008
|
|
855-0983
|
BWC/ BWCMIAD/ BWCMIADALLS
|
CUF-1
|
Computer Usage Files
|
|
|
07/08/2013
|
|
855-0984
|
BWC/ BWCCOMD/ BWCCOMDLEGI
|
LEGI-45
|
Legislative Complaints and Inquires
|
|
|
11/06/2007
|
|
855-0987
|
BWC/ BWCOFFI/ BWCOFFIMICR
|
MICR-9
|
Microfiche Index of Cashed Warrants
|
|
|
08/24/2022
|
|
855-0988
|
BWC/ BWCOFFI/ BWCOFFIMICR
|
OFFI-11
|
Microfiche Listing of Cash Cancelled Warrants
|
|
|
08/24/2022
|
|
855-0989
|
BWC/ BWCRKAD/ BWCRKADRTUN
|
RTUN 7
|
(AC-2) Permanent Authorization Form
|
|
|
03/11/2008
|
|
855-0994
|
BWC/ BWCRKAD/ BWCRKADRTUN
|
RTUN 8
|
AC-3 Temporary Authorization form
|
|
|
01/20/2011
|
|
855-0996
|
BWC/ BWCFDAD/ BWCFDADASAD
|
ASAD 1
|
Actuarial Rate Reports
|
|
|
03/06/2014
|
|
855-0997
|
BWC/ BWCFDAD/ BWCFDADBUDG
|
BUDG-58
|
Administrative Cost Fund Allocation Information
|
|
|
04/20/2016
|
|
855-0999
|
BWC/ BWCMSAD/ BWCMSAD
|
MSPM-6
|
Managed Care Organization (MCO) Contract Development Papers
|
|
|
04/05/2012
|
|
855-1000
|
BWC/ BWCALLS/ BWCALLSALLS
|
BWC/ALLS-4
|
Delivery Slips and Packing Lists
|
|
|
05/07/2008
|
|