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855-1188
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BWC/ BWCFDAD/ BWCFDADMAIL
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REAL1
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Maintenance Service Records
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08/30/2018
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855-1189
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BWC/ BWCEMPS/ BWCEMPSOSTC
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OSC-3
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Other States Coverage (OSC) Employer Premium Audit Documents
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09/10/2018
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855-1190
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BWC/ BWCEMPS/ BWCEMPSOSTC
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OSC-2
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Other States Coverage (OSC) Employer Underwriting Documents
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09/10/2018
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855-1191
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BWC/ BWCEMPS/ BWCEMPSOSTC
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OSC-1
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Other States Coverage (OSC) Employer Policy File
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09/10/2018
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855-1192
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BWC/ BWCFDAD/ BWCFDADBPAY
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BPAY-FX
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Faxes
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09/10/2018
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855-1193
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BWC/ BWCHUMA/ BWCHUMAPERS
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HUMA-BC2
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Drug Test Notification Form & results
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09/20/2018
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855-1194
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BWC/ BWCHUMA/ BWCHUMAPERS
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HUMA-BC1
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Background Check Submission Forms and Results
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09/20/2018
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855-1195
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BWC/ BWCFDAD/ BWCFDADREAL
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FM-18
|
Facility Moves and Changes
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12/06/2018
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855-1196
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BWC/ BWCFDAD/ BWCFDADARCC
|
ARCC-1
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Warrant Pickup Signature List
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11/19/2018
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855-1197
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BWC/ BWCLAWS/ BWCLAWSFSIU
|
SVIU-02
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Actuarial Audit
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11/23/2018
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855-1198
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BWC/ BWCHUMA/ BWCHUMA
|
HUMA-26
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Public Employee Risk Reduction Program (PERRP) Report
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12/06/2018
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855-1199
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BWC/ BWCHUMA/ BWCHUMA
|
HUMA-25
|
Internal Incident Reports
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01/16/2019
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855-1200
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BWC/ BWCMIAD/ BWCMIADALLS
|
MIAD-66
|
IT Consultant Files
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04/16/2019
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855-1201
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BWC/ BWCLAWS/ BWCLAWSRCDS
|
RCDS-6
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Request for a Records Retention Schedule form Legal-26 & Records Inventory Worksheet form Legal-27
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06/13/2019
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855-1203
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BWC/ BWCHUMA/ BWCHUMA
|
HUMA-25
|
Internal Incident Reports
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05/22/2020
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855-1204
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BWC/ BWCSHYG/ BWCSHYGSHYG
|
S&H-33
|
Safety Congress Recorded Educational Sessions
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01/10/2022
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855-1205
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BWC/ BWCMSAD/ BWCMSAD
|
MSAD
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Pharmacy Benefits Manager (PBM) Rebate Aggregator Files
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10/20/2022
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