We help business owners navigate Kansas workers' comp rules.

At Workers Compensation Shop.com we attempt to offer free access to Kansas' workers' compensation forms, applications and guides. We strive to keep our library up to date with the latest versions of every form you may need.

As with all the information we provide about state workers comp rules please verify the accuracy of this information with the Kansas Insurance Department.

If you have questions about a workers comp form feel free to contact a specialist at 888-611-7467. We want to be your source for workers compensation information, rates and quotes in Kansas.

Kansas Workers Compensation Insurance Forms

KS Acord 130 Workers' Compensation Application

The standard Acord 130 application form for workers comp coverage in Kansas.

Kansas Information about workers' compensation for employers and employees

Kansas Department of Labor's informational guide to workers' compensation for both employers and employees.

Kansas Employee Notice of Workers Compensation

Kansas Employers are required to post this notice on workers compensation rights and responsibilities in atleast on visible place at each job location.

Independent Contractors or Employee Fact Sheet

Kansas documentation explianing the differences between employees and independent contractors for workers' compensation purposes in the state of Kansas.

Kansas Application for Exclusion of Employees that own 10% corporate stock

Election not to accept coverage under Kansas Workers' Compensation Act by an employee who ones 10% or more Corporate stock of corporate employer.

Kansas Election on a Non-compensated Officer

Complete this form to elect coverage of a non-compensated officer, trustee of a nonprofit corporation to be covered under the Kansas Workers' Compensation Act.

Kansas Election of Individual Owner to Carry Coverage

Self-employed individuals, partners, and LLC Members may elect workers' compensation coverage when they are not legally obligated to purchase a policy.

Kansas Election of Employer to Cover Employees

Complete this form to elect coverage of employees under the Kansas Workers' Compensation Act where the employer has less than $20,000 Payroll or is an agricultural pursuit.

Kansas Election of Employer to Cover Volunteers

Complete this form for the election of the employer to provide workers' compensation coverage for volunteer workers.

Elections Instructions

Information about filing for elections in the state of Kansas.

Informational Guide for Injured Workers

An in depth guide to the practices and procedures in workers' compensation claims.

Information for Injured Employees

Explains what employees need to do if an injury occurs when working for a Kansas employer.


Workers' Comp Exemption

Each state has its own laws and requirements regarding when and how employers are allowed to opt-out of coverage under their workers compensation policy. Some states make it easier than others because they don't require anything to be filed. Other states require special inclusion or exclusion affidavit documentation. Failure to comply often causes employers to have to pay premium on themselves even when they wanted to be excluded form coverage.

Waiver of Subrogation

A waiver of subrogation means that a business and their insurance company is foregoing all rights to file suit, or seek damages, from another business. This is common in the construction industry as builders attempt to protect their company from negligence. A workers' comp waiver of subrogation does not prevent an injured employee from filing a lawsuit for damages. This coverage typically add about $100 to the cost of a work comp policy.

Certificate of Insurance

A Certificate of Insurance is a document that serves as evidence of insurance or proof of coverage. Certificates indicate your current coverages and policy limits. Insurance Agencies issue on an insured's behalf and they often list a third party as a certificate holder. This means they should be notified if a policy cancels prior to expiration. Requests for any special wording should be carefully checked against the policy language before being added to a certificate as they can create legal issues with coverage.


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State Resources for Kansas

Kansas Insurance Department

420 SW 9th Street
Topeka, Kansas 66612-1678
1-800-432-2484
http://www.ksinsurance.org/

Kansas Division of Workers' Compensation

Department of Labor
1309 SW Topeka Blvd
Topeka, KS 66612
785-296-5042
www.dol.ks.gov/WorkComp/

Workers compensation insurance is required by law for Kansas employers.

Kansas forms and applications such as owners inclusion or exclusion forms are sometimes updated by the state. Contact us if you need help or can't find the workers compensation form you need for Kansas.

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Visit NCCI for more resources and information about workers' compensation class codes. Visit United States Department of Labor for more information about government agencies managing workers compensation insurance rates.

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