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855-1146
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BWC/ BWCHUMA/ BWCHUMALABO
|
HUMA/FMLA
|
Employee FMLA and related correspondence
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|
|
03/28/2012
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|
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855-1147
|
BWC/ BWCSERA/ BWCSERACLMS
|
SERA/ALL
|
BWC / ODJFS Compensation Comparison Report
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|
|
04/05/2012
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|
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855-1148
|
BWC/ BWCALLS/ BWCALLSALLS
|
ALLS-23
|
Flextime Forms
|
|
|
05/24/2012
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|
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855-1149
|
BWC/ BWCALLS/ BWCALLSALLS
|
ALLS-64
|
Analytical Trending and Forecasting Reports
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|
|
05/24/2012
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|
855-1150
|
BWC/ BWCFDAD/ BWCFDADARCO
|
ARCO - 64
|
Employer Policy Account Refunds
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|
|
09/10/2018
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|
|
855-1151
|
BWC/ BWCFDAD/ BWCFDADBUDG
|
Budget 49
|
Agency Budget Month End Reports
|
|
|
08/11/2017
|
|
|
855-1152
|
BWC/ BWCRISK/ BWCRISKRTBC
|
EMPC/PDPA
|
UA-5 Premium Discount Program (PDP) Application
|
|
|
03/01/2013
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|
|
855-1153
|
BWC/ BWCRKAD/ BWCRKADRTBC
|
RKAD/PEO
|
Professional Employer Organization (PEO) File
|
|
|
04/23/2013
|
|
|
855-1154
|
BWC/ BWCLAWS/ BWCLAWSLEGL
|
LEGL/AHD
|
Disability Relief Database
|
|
|
11/28/2023
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|
|
855-1155
|
BWC/ BWCHUMA/ BWCHUMAPERS
|
HUMA/DPA
|
Discipline Personnel Action Form
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|
|
08/23/2013
|
|
|
855-1156
|
BWC/ BWCHUMA/ BWCHUMAPERS
|
HUMA-PD1
|
Position Description
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|
|
09/17/2014
|
|
|
855-1157
|
BWC/ BWCSHYG/ BWCSHYGPERP
|
PERRP-8
|
Enforcement Citations, Internal Investigation Report and Citation Worksheets
|
|
|
09/09/2020
|
|
|
855-1158
|
BWC/ BWCFDAD/ BWCFDAD
|
Payroll14
|
Payroll Records
|
|
|
12/10/2014
|
|
|
855-1159
|
BWC/ BWCFDAD/ BWCFDAD
|
Payroll15
|
Employee Payroll Records
|
|
|
11/19/2018
|
|
|
855-1160
|
BWC/ BWCSHYG/ BWCSHYGPERP
|
PERRP-7
|
Public Employer (PE) Injury, Occupational Illness and Accident Statistical Records
|
|
|
03/06/2015
|
|
|
855-1161
|
BWC/ BWCSHYG/ BWCSHYGPERP
|
PERRP-2
|
PERRP Occupational Health Enforcement Investigations with Sampling
|
|
|
09/09/2020
|
|
|
855-1162
|
BWC/ BWCSHYG/ BWCSHYGSHYG
|
SHYG/LTCL
|
Long Term Care Loan (LTCL) Program Application
|
|
|
09/18/2015
|
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