This is an advertisement

Links

logo

  • Kentucky’s Workers’ Compensation Act: KRS 342 – The Statute setting forth workers’ compensation law
  • 803 KAR 25:010 – Administrative Regulations applicable to Filing a Workers’ Compensation Claim
  • Kentucky Department of Workers’ Claims – Website for the Kentucky Department of Workers’ Claims
  • “Forms” Page – Listing of specific Forms from the Department of Workers’ Claims Website
  • Form 101 Application for Resolution of Work Injury – This is the “complaint” for a work-related injury
  • Form 104 Employment History – Form to list chronological work history
  • Form 105 Medical History – Form to list chronological medical history
  • Form 106 Medical Waiver and Consent – A Release Form allowing parties to request medical records
  • Form 113 Notice of Designated Treating Physician – Form to designate a physician to treat the work injury
  • Form 114 Request for Out-of-pocket expense and Mileage Reimbursement – Form on which to list mileage for travel to medical appointments and any out-of-pocket expenses
  • Hearing Site Locations – Lists the location of Workers’ Compensation Hearing Sites
  • Kentucky Court of Justice Page – Link to the Website for the Kentucky Court of Appeals and Supreme Court