Comprehensive Risk Management, Inc

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NOTE: For this to be a VALID form, it must be stamped by the Self-Insured Department for self-insured employers or by the Employer Services Division for all employers other than self-insured. This authorization, being temporary in nature, will not be recorded via computer or be retained by the Risk Technical Services Department. A copy must be in the possession of a representative when requesting service relative to the authority granted therein. This is to certify that Comprehensive Risk Management 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. This limited letter of authority provides access to the following types of information relating to our account

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