Edition Date:6/27/2005
Information:Authorization for AultComp Administrators including its agents or representatives to review and perform studies on certain workers’ compensation matters on our behalf.
For this to be a VALID letter,It must be stamped by the Self-Insured Department for self-insured employers or by the Employer Services Department for all employers other than self-insured. This authorization,being temporary in nature,will not be recorder via computer or be retained by the Employer Services Department. A copy must be in the possession of a representative when requesting service relative to the authoriy granted therein.