We help business owners navigate Kentucky workers' comp rules.

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.

At Workers' Compensation Shop.com, we shop insurance so you don't have to.

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 there 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.

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.


cashflow improves when the cost of workers' comp is calculated on actual payroll.

Pay As You Go Work Comp

Improve your business cash flow with our Agency Pay As You Go Workers' Comp plans. Available through most of our insurance companies.

Pay ASs You Go

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.

Why Quote Workers' Comp Insurance with Us?

Find the best workers' comp insurance company.

SHOP MORE INSURANCE CARRIERS

We work with over 50 workers' comp insurance companies across the U.S. We compare rates and deliver your best deal.

Easy payment plans for work comp insurance.
IMPROVE CASHFLOW WITH EASY PAY PLANS

We offer Pay As You Go Workers' comp plans and easy monthly payment options for your business.

Get Pay As You Go workers' compensation insurance.
EXCLUSIVE WORK COMP PROGRAMS

We've developed Target Programs with key insurance companies that provide bigger discounts and more credits.

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.

Copyright 2020 Workers Compensation Shop.com. All rights reserved.
California DBA: I-Shop Online Insurance Agency.
Top rated insurance agency- BBB. Pay for workers comp insurance with a credit card. Workers Compensation Shop on Facebook. Workers Compensation Shop on LinkedIn. Workers Compensation Shop on Twitter.