WorkersCompensation.com - The online information management service for Workers' Comp professionals

  

Member Login

 Forgot Password?
usrnme Username: pswrd Password:
Not A Member? Learn More.
 Home | Forms | State Laws & Info |  Get Insurance |  CompYellow Pages |  Products |  News & Blogs |  Education |  Forums
Popular Features
WorkCompResearch
CompBob! Joke of the Week
CompTalk! Radio
CompTalk! Video
Send A Get Well Card
Post Job/Resume
Recommend This Site


Get Our E- Newsletter
Fresh News, Hot Topics, CompTalk! Radio and Video and More.

Sign Up!








Kentucky Form Center


Welcome to the most extensive library of workers' compensation forms available anywhere. Almost 3,000 forms are available for your immediate download and use. Our forms, all of which have been custom programmed by WorkersCompensation.com for Type & Save functionality, are available for individual purchase below.

Try a Forms Membership! If you have an ongoing need for multiple forms, and want complete and unrestricted access to our entire 3,000 "Type & Save" Forms Library, you may register for immediate access here. Annual subscribers to this service get the benefit of our forms updating system, making sure the forms they use are the most current available.

= Indicates this Type & Save form is available for individual purchase.

= FlashFormSSL Enabled.
Click here to learn more about auto-populating forms with FlashForm SSL.

(IA-1) First Report of Injury - 2/95
(af-corp) Notarized Affidavit of Exemption by Building Contractor (Corporation or Patrnership) - 1/97
(af-ind) Notarized Affidavit of Exemption by Building Contractor (Individual) - 1/97
(aww1) Average Weekly Wage Certification - 1/97
(el1-2) Employee Leasing Company Registration Form - 4/97
(er) Educational Release Form - 7/02
(ia-2) Subsequent Report - 10/95
(hls) Hearing Loss Stipulation - 12/01
(is) Injury Stipulation - 12/01
(ods) Occupational Disease Stipulation - 12/01
(11) Motion to Substitute Party and Continuation of Benefits - 1/05
(101) Application for Resolution of Injury Claim - 6/05
(102) Application for Resolution of Occupational Disease Claim - 6/05
(102-CWP) Application for Resolution of Coal Workers' Pneumoconiosis Claim - 6/05
(103) Application for Resolution of Hearing Loss Claim - 6/05
(104) Plaintiff's Employment History - 1/97
(105) Plaintiff's Chronological Medical History - 1/97
(106) Medical Waiver and Consent - 7/03
(107i) Physician's Medical Report-Injury - 4/05
(107p) Physician's Medical Report-Psychological - 4/05
(108cwp) Physician's Medical Report-Occupational Disease - 4/05
(108h) Physician's Medical Report-Hearing Loss - 4/05
(108o) Physician's Medical Report-Occupational Disease - 4/05
(109) Attorney Fee Election - 3/95
(110-CWP) Agreement as to Compensation and Order Approving Settlement for Coal Workers Pneumoconiosis - 7/02
(110f) Agreement As To Compensation And Order Approving Settlement - 1/05
(110i) Agreement as to Compensation and Order Approving Settlement-Injury - 7/06
(110o) Agreement as to Compensation and Order Approving Settlement-Occupational Disease - 7/06
(111hl) Notice of Claim Denial or Acceptance-Injury and Hearing Loss - 1/97
(111od) Notice of Claim Denial or Acceptance-Occupational Disease - 1/97
(112) Medical Fee Dispute - 9/02
(113) Notice of Designated Physician - 3/03
(114) Request for Payment for Services or Reimbursement for Compensable Expenses - N/D
(115) Social Security Release - 1/97
(120ex) Request For Expedited Determination - 7/94
(Form375) Application for Split Coverage - N/D
(375e) Application for Split Coverage (Employee Leasing) - N/D
(375w) Application for Split Coverage (Wrap-Up) - N/D
(mcf) Request for Manual Change - 4/07
(ManagedCareUR) Managed-Care/Utilization Review - N/D
(MTR1) Motion To Reopen By Employee - 5/97
(mtr-2) Motion to Reopen KRS 342.732 Benefits - 7/02
(MTR3) Motion To Reopen By Defendant - 5/97
(ServiceContractAgreement) Service Contract Agreement - N/D
(SI01) Self-Insurers Guarantee - 11/05
(SI02) Employers Application For Permission To Carry His Own Risk Without Insurance - 1/04
(SI02attach) Request For Information (To Accompany Form Si-02)
(SI03) Continuous Bond - 1/04
(SI03attach) Surety Rider (To Accompany Form Si-03)
(SI04) Letter of Credit - 1/04
(SI08) ENCLOSURE A - 10/05
(ManualChangeForm2009) Request for Manual Change - 4/09