Labor Commission. Adjudication Division
14567--Compensation agreements and lump sum working files21884--Card index to contested case files
21924--Adjudication final orders and compensation agreements
83028--Workers' compensation claimant x-rays
82227--Contested court case files
AGENCY: Labor Commission. Adjudication Division
SERIES: 14567
TITLE: Compensation agreements and lump sum working files
VARIANT TITLE: Form 019
Form 134
DATES: 1920-
ARRANGEMENT: Alphabetical by surname
ANNUAL ACCUMULATION: 7.00 cubic feet.
DESCRIPTION: This series provides support documentation for the compensation agreements for workers' compensation claims. The series consist of the Compensation Agreement - Form 019 and the Lump-sum application - Form 134. The compensation agreement is used to enter into an agreement for a permanent partial award. The lump-sum form is used by an employee when applying for a lump sum or advance payment for a permanent partial award. Information includes the name and address of the employee, financial information, marital status, medical information, salary information, social security number and telephone number. The original Compensation agreement, series 21924 is retained for 75 years.
RETENTION
Retain 75 years.
DISPOSITION
Destroy.
FORMAT MANAGEMENT
Paper: Retain in Office for 1 year and then transfer to State Records Center. Retain in State Records Center for 74 years and then destroy.
APPRAISAL
Administrative Legal
The Agency requested an increase in the retention period to make the retention period consistent with the retention period for similar working files. The original approved retention period had been 10 years.
PRIMARY DESIGNATION
Private. UCA 63G-2-302 (2008)
AGENCY: Labor Commission. Adjudication Division
SERIES: 21884
TITLE: Card index to contested case files
DATES: 1920-
ARRANGEMENT: Alphabetical by claimant's name
ANNUAL ACCUMULATION: 1.00 cubic foot.
DESCRIPTION: These index cards are used to reference the individual case files. Information includes the claimant's name, address, employer, workers' compensation insurance carrier, nature of injury, date of injury and social security number.
RETENTION
Retain 75 years.
DISPOSITION
Destroy.
FORMAT MANAGEMENT
Paper: Retain in Office until microfilmed and then destroy provided microfilm has passed inspection.
Microfilm master: Retain in State Records Center for 75 years and then destroy.
Microfilm duplicate: Retain in Office for 75 years and then destroy.
APPRAISAL
Administrative
This disposition is based on Utah State General Records Retention Schedule, Schedule 1, Item 11.
PRIMARY DESIGNATION
Private. UCA 63G-2-302 (2008)
AGENCY: Labor Commission. Adjudication Division
SERIES: 21924
TITLE: Adjudication final orders and compensation agreements
DATES: 1920-
ARRANGEMENT: Chronological by date of approval
ANNUAL ACCUMULATION: 1.00 cubic foot.
DESCRIPTION: This series includes the final resolution documentation of the Administrative Law Judge's (ALJ), Labor Commission and Appeals Board in Worker's Compensation, Occupational Disease, Occupational Safety and Health, Employment Discrimination, Fair Housing and Wage Claim cases and compensation agreements for workers' compensation claims. The compensation agreement is used to enter into an agreement for a permanent partial award. Information includes the name and address of the parties involved, social security number and telephone number. The supporting documentation for the compensation agreements (series 14567, Compensation agreements and lump sum working files) is retained for 75 years. The supporting documentation for the final orders (series 82227, Contested Case Files) is retained for 75 years.
RETENTION
Retain 75 years.
DISPOSITION
Destroy.
FORMAT MANAGEMENT
Paper: Retain in Office until microfilmed and then destroy provided microfilm has passed inspection.
Microfilm master: Retain in State Records Center for 75 years and then destroy.
Microfilm duplicate: Retain in Office for 75 years and then destroy.
APPRAISAL
Administrative
PRIMARY DESIGNATION
Private. UCA 63G-2-302 (2008)
SECONDARY DESIGNATION
Public. Final Orders
AGENCY: Labor Commission. Adjudication Division
SERIES: 83028
TITLE: Workers' compensation claimant x-rays
DATES: [ca.^1950]-
ARRANGEMENT: Alphabetical by name
DESCRIPTION: These are X-rays which accompany Workers' Compensation claimants' medical files. They are maintained separately from the other claimant information. The information includes name, patient number, and date of injury.
RETENTION
Retain 75 years after date of injury.
DISPOSITION
Destroy.
FORMAT MANAGEMENT
X-rays: Retain in Office for 75 years after date of injury and then destroy provided silver is recovered.
APPRAISAL
Administrative
All information regarding an individual's industrial accident claim should be destroyed at the same time. These files should be retained for the life of the individual in order to assure documentation in the event a problem arises.
PRIMARY DESIGNATION
Public
SECONDARY DESIGNATION
Private. all unique identifiers
AGENCY: Labor Commission. Adjudication Division
SERIES: 82227
TITLE: Contested court case files
DATES: 1950-
ARRANGEMENT: Numerical by case number
ANNUAL ACCUMULATION: 20.00 cubic feet.
DESCRIPTION: These are files on individuals who file for a hearing before the Adjudication Division. This may be the case if an insurance company discontinues or decreases payment contrary to the individual's understanding, or the initial agreement of compensation from the insurance carrier was not settled, or other such problems. These files include: all related medical information; all related doctor, attorney, or other correspondence; pre-hearing settlement offers; application for hearing; notices of hearing; orders from the Commission; hearing tapes; and judges' case notes.
RETENTION
Retain 75 years after case is closed.
DISPOSITION
Destroy.
FORMAT MANAGEMENT
Paper: Retain in Office for 1 year after case is closed and then transfer to State Records Center. Retain in State Records Center for 74 years and then destroy provided no litigation is pending.
APPRAISAL
Administrative
PRIMARY DESIGNATION
Private. UCA 63G-2-302 (2008)
SECONDARY DESIGNATION
Public. Commission decisions and orders
Controlled. UCA 63G-2-304 (2008) Psychiatric and Psychological Data
Exempt. Judge's notes