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WORKERS' COMPENSATION CLAIM FILES AND PROOF OF INSURANCE COVERAGE RECORDS (MICROFILM)

RDA Number
824
Effective Date
Record Series Abstract
CLAIM FILES SHOW FIRST PAYMENT OF COMPENSATION, FINAL REPORT OF SETTLEMENT, PETITION TO COURT FOR SETTLEMENT, SETTLEMENT AGREEMENT, COURT ORDER, MEDICAL REPORT, AND INDEX CARDS CONTAINING PROOF OF INSURANCE COVERAGE INFORMATION AND REJECTIONS AND ELECTIONS.
Record Series Active
No
Cut Off at End of
Calendar Year
Total Retention Years
50
Total Retention Months
0
Retention End Action
Destroy
Disposition Notes
All records maintained under this RDA are old paper forms that were transferred to microfilm and are now maintained on microfilm. No new records are being created. They are all maintained in the Nashville office. They are stored in cabinets secured by locks. When destroyed after their 50 year retention cycle, the documents are placed in locked and secured bins and destroyed in state-approved methods.
Record Location
220 French Landing 1st Floor, 1-B
File Arrangement
ALPHA BY YEAR
Media Format Generated
Paper
Media Format Stored
Microfilm
Date Range
1919-1994
Allotment Code
33703
Annual Accumulation
NONE, THIS IS OLD DATA ONLY
Current Volume
1500 ROLLS OF MICROFILM
Record Value
Administrative
Legal
Audit Requirements
State
Information Shared Outside the State
No
Essential Record
No
Essential Record Stored
N/A
Essential Record Media Type
Microfilm
Confidential
No
Confidential Legal Citation
N/A
Does this Record Series Contain Sensitive Information?
No
Agency Retention
50 YEARS
System Name
N/A
Hardware Description
N/A
Software Description
N/A
System Location
N/A
Backup Procedures
N/A
Disaster Recovery
N/A
Data Migration Description
N/A
Records Management Division (RMD)
11-19-2015
No recommended changes.
Tennessee State Library and Archives
11-19-2015
No recommended changes.
Comptroller Audit Review
11-19-2015
We have reviewed RDA 824 from an audit standpoint. We concur with the recommended retention and disposition specifications.
Agency Records Officer
11-19-2015
Thank you very much. The Agency concurs.
RMD Director
11-25-2015
RDA 824 is a request to revise an RDA. The retention period will remain fifty years and the format will remain paper/microfilm. The records series is no longer active. The records will be retained for the remainder of the fifty year retention period and then destroyed. Recommend approval of request to revise RDA 824.
Public Records Commission
02-25-2016
PRC approves RDA 824.