Links

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

VIDEOS