Authorization Number | Agency/ Division/ Section | Agency Series Number | Record Series Title | Confidential | Vital | Approval Date | Action |
855-1104 | BWC/ BWCHUMA/ BWCHUMA | HUMA-SU5 | Internal Disability Management Files of BWC Employees. | 04/21/2009 | |||
855-1106 | BWC/ BWCMIAD/ BWCMIADALLS | MIAD-65 | Scheduling Software & History Records | 02/05/2018 | |||
855-1107 | BWC/ BWCRKAD/ BWCRKADSELF | EMPL/REAPP | Self Insured (SI) Employer Renewal Application | 03/01/2013 | |||
855-1108 | BWC/ BWCMSAD/ BWCMSAD | MSAD-28 | Complexity Factor Forms | 06/30/2009 | |||
855-1109 | BWC/ BWCSHYG/ | S&H/SC-1 | Safety Council New Enrollments, Deletions and Policy Number Updates | 09/09/2020 | |||
855-1110 | BWC/ BWCSHYG/ | S&H/SC-2 | Safety Council Evaluations and Sign-in Sheets | 07/16/2009 | |||
855-1111 | BWC/ BWCLAWS/ BWCLAWSLEGL | LEGL-70 | Santos Reimbursement Information | 10/11/2023 | |||
855-1112 | BWC/ BWCLAWS/ BWCLAWSLEGL | LEGL-110 | Mock File Inventory | 08/20/2009 | |||
855-1113 | BWC/ BWCMSAD/ BWCMSAD | MSAD-30 | Hospital Reimbursement Appeals | 09/09/2009 | |||
855-1114 | BWC/ BWCRKAD/ BWCRKADRTBC | RTBC/RAR | Retrospective Rating Plan Annual Loss Statement (Retro Annual Report) | 09/11/2009 | |||
855-1116 | BWC/ BWCLAWS/ BWCLAWSLEGL | LEGL-120 | Court Docket Worksheet | 09/18/2009 | |||
855-1117 | BWC/ BWCLAWS/ BWCLAWSLEGL | LEGL-100 | Appeals and Continuances Spreadsheet | 09/18/2009 | |||
855-1118 | BWC/ BWCLAWS/ BWCLAWSLEGL | LEGL-111 | Attorney General’s Office Litigation Summary Worksheet | 09/13/2023 | |||
855-1119 | BWC/ BWCRKAD/ BWCRKADSELF | SELF/SIBF | Self Insured (SI) Bankrupt Claims File | 12/06/2018 | |||
855-1120 | BWC/ BWCMSAD/ BWCMSAD | MSAD-29 | Hospital Reimbursement Review Bill Worksheets | 09/18/2009 | |||
855-1123 | BWC/ BWCMSAD/ BWCMSAD | MSAD-140 | Medical Payment Dispute Committee (MPDC) Official Files. | 12/09/2009 | |||
855-1124 | BWC/ BWCSHYG/ | SHYG/GRSP | Group Rating Safety Plan Summary Form (SH2) | 03/20/2012 |