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Tennessee Secretary of State Tre Hargett
Records Management Division
RDA
RDA Management System
RDA Details
RDA
RDA: 824
Database ID: 106
Record Series Title: WORKERS' COMPENSATION CLAIM FILES AND PROOF OF INSURANCE COVERAGE RECORDS (MICROFILM)
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
If Other, Explain:
Total Retention: 50 Years 0 Months
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.
View Signed Form: Form Not Received
Worksheet
Worksheet ID: 106
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
Annual Accumulation: NONE, THIS IS OLD DATA ONLY
Current Volume: 1500 ROLLS OF MICROFILM
Record Value: Administrative, Legal
Audit Requirements: State
Reference Frequency:
Current Year per Month: 2
Past Year: 20
2 - 5 Years: 75
Over 5 Years: 100
Data Update Frequency: Yearly
Information Shared Outside of State: No
If Shared, List Agencies: N/A
Essential Record: No
Essential Record Stored: N/A
Essential Record Media Type: Microfilm
Confidential: No
Confidential Legal Citation: N/A
Media Recommendation: Microfilm
Media Recommendation Other: N/A
Agency Retention: 50 YEARS
Agency Retention - Years Active: 5 YEARS
Agency Retention - Years Inactive: 45 YEARS
Records Center Retention Period:
Final Disposition after Retention Expires: Convert to Microfilm
Legal Citation: N/A
Record Sample: No Sample
Legal Documentation: No Legal Documentation
Electronic Records Plan Inventory
System Name: N/A
IT-ABC Number: 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
Metadata Description: N/A
Contact Information
Contact Name: Andrea L Draper
Job Title: Administrative Assistant
Address 1: 220 French Landing
Address 2: 1st Floor, B
City: Nashville
Zip: 37243
Phone: 615-532-1228
Email: andrea.draper@tn.gov
Agency: Dept. of Labor & Workforce Development
Agency Head: Abbie Hudgens
Director: Jeff Francis
Allotment Code: 33703
Status
Action Requested: New RDA
Comments
  Date Comments
Records Management Division (RMD): 11-19-2015 No recommended changes.
Tennessee State Libary and Archives: 11-19-2015 No recommended changes.
Comptroller Audit Review: 2015-11-19 We have reviewed RDA 824 from an audit standpoint. We concur with the recommended retention and disposition specifications.
Agency: 11-19-2015 Thank you very much. The Agency concurs.
RMD Director Recomendations: 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.
Signed Form Received: 2015-11-24
PRC Meeting Date: 02-25-2016
PRC Comments: PRC approves RDA 824.
PRC Action: Approved
RDA History
ID RDA PRC Reviewed PRC Action
106 824 2016-02-25 Approved