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Authorization Number   Agency/ Division/ Section Agency Series Number Record Series Title Confidential Vital Approval Date Action
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
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© 2025 - RIMS, State of Ohio