|
|
|
APPLICATION FOR
ACCESS CODE NUMBERS
FOR USE OF COPIERS LOCATED AT MOST
CALIFORNIA WORKERS' COMPENSATION APPEALS BOARDS |
|
Thank you for applying for
your personal Access Code Number (ACN). An ACN is
required to operate the new copiers that are being
installed at most of the WCAB District Offices. Your
ACN will allow you to use copiers at all the district
offices you select on the application. Your ACN will
not be accepted at the following district offices:
Eureka, Fresno, Redding, Sacramento, Santa Rosa, and
Stockton. |
|
You
will be billed quarterly at a rate of $.20 per page. In
order to maintain your ACN, you must make a minimum of
50 copies per billing period (90 days) or agree to a
minimum charge of $10.00 per billing period. Document
Reproduction Services (DRS) will use this charge
to offset any accounting costs incurred. In order to
process your application, you will be required to pay a
$100.00 refundable ACN issuance fee, as well as a $10.00
activation fee for each district office you select.
This amount must accompany each application you
complete. |
|
IF YOU WILL NOT MEET
THE MINIMUM COPY USAGE, YOU ARE URGED TO USE THE
COIN-OPERATED COPIERS THAT HAVE BEEN FURNISHED BY
DOCUMENT REPRODUCTION SERVICES. PLEASE SELECT ONLY THOSE LOCATIONS THAT YOU
FREQUENT REGULARLY. |
|
Within 10 days, you will
receive confirmation of your ACN along with simple
instructions for proper use. Please be sure that all
employees who will have access to the machine are aware
of the ACN and the proper procedures for its use. |
|
A SEPARATE APPLICATION
IS REQUIRED FOR EACH ACN YOU WOULD LIKE ISSUED. AT YOUR
DISCRETION, MORE THAN ONE INDIVIDUAL MAY SHARE AN ACN.
IF YOU OBTAIN MORE THAN ONE ACN, YOU MAY REQUEST A
SUMMARY BILLING. |
|
Please complete the
application. You have the option of applying
electronically or by printing the application,
completing it and mailing it to Document Reproduction
Services. |
|
