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
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.
An employers guide to workers compensation in Kentucky. Guide produced by the KY Department of Workers' Claims.
Employers in Kentucky are required to post this notice of workers comp coverage in their workplace.
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.
The First Report of Injury Form should be completed by employers and forwarded to your insurance company each time their is a claim..
The KY Subsequent Report of Injury Form should be completed by Employers and forwarded to your work comp carrier when an existing injury reoccurs..
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.
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.
A helpful supervisor report to document workers compensation claims in Kentucky.
State Resources for Kentucky
State Resources for Kentucky
Kentucky Department of Workers' Claims
657 Chamberlin Avenue
Frankfort, Kentucky 40601
Kentucky Department Of Insurance
P.O. Box 517
Frankfort, Kentucky 40602-0517
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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