Kentucky Workers Comp Forms

Find Kentucky workers compensation forms and employer coverage guides.

We offer free access to the most common forms needed relating to Kentucky Workers Compensation Insurance. We strive to keep these forms up to date and accurate.

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

If you have questions about any of these forms feel free to contact one of our Work Comp Experts at 888-611-7467. If you are ready you can start a quote online today.

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Kentucky Workers Compensation Insurance Forms

KY Acord 130 Workers Compensation Application

The standard application for insurance coverage in Kentucky. The Acord 130 application form is typically completed by the agent and sent to insurance companies for quotes and renewals.

Kentucky Guide to Workers Compensation Insurance

An employers guide to workers compensation in Kentucky. Guide produced by the KY Department of Workers' Claims.

Kentucky Workers Compensation Posting Notice

Employers in Kentucky are required to post this notice of workers comp coverage in their workplace.

KY Drug-Free Workplace Program Application

Employers may be eligible for a premium discount with their workers comp carrier for having a drug-free workplace program. This is the application and affidavit for certification.

Kentucky First Report of Injury Form- IA-1

The First Report of Injury Form should be completed by employers and forwarded to your insurance company each time their is a claim..

Kentucky Subsequent Report of Injury Form- IA-2

The KY Subsequent Report of Injury Form should be completed by Employers and forwarded to your work comp carrier when an existing injury reoccurs..

Kentucky Workers Comp Exemption Form- Individuals and Partners

Individual Building Contractors who would like to exclude themselves from workers compensation coverage should complete this form and file it with the Kentucky Department of Workers' Claims.

Kentucky Work Comp Exemption Form- Corporations and Partnerships

Building Contractor Officers and Partnerships who would like to exclude themselves from workers compensation coverage should complete this form and file it with the Kentucky Department of Workers' Claims.

KY Supervisor's Accident Investigation Report

A helpful supervisor report to document workers compensation claims in Kentucky.

State Resources for Kentucky

Kentucky Department of Workers' Claims

657 Chamberlin Avenue
Frankfort, Kentucky 40601
502-564-5550
http://www.labor.ky.gov/workersclaims/

Kentucky Department Of Insurance

P.O. Box 517
Frankfort, Kentucky 40602-0517
502-564-3630
http://insurance.ky.gov/

Workers compensation insurance is required by law for Kentucky employers.

Kentucky 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 your need for Kentucky.

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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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