TO: The Ohio Bureau of Workers' Compensation Risk Technical Services Department (L-22)

Minute Men HR
3740 Carnegie Avenue
Cleveland, OH 44115
Fax: 216-426-2254
Toll Free: 877-873-8856

This is to certify that Minute Men HR REP #001633-80 including its agents or representatives identified to you by them, has been retained to review and perform studies on certain workers' compensation matters on your behalf.

The limited letter of authority provides access to the following types of information relating to your account:

(1) Risk files

(2) Claim Files

(3) Merit-rated or non-merit rated experiences

(4) Other associated data

This authorization does NOT include the authority to:

(1) Review protest letters

(2) File protest letters

(3) File form CHP-4

(4) File Motions, I-12's or IC-88's

(5) File self-insurance applications

(6) Represent the employer at hearings

(7) Pursue other similar actions on behalf of the employer

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