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Workers Compensation for Kentucky

  • Agreement As To Compensation & Order Approving Settlement - Injury
    File .pdf (10.6 Kbytes)
  • Agreement As To Compensation & Order Approving Settlement - Occupational Disease
    File .pdf (11 Kbytes)
  • Application For Resolution Of Hearing Loss Claim
    File .pdf (15.7 Kbytes)
  • Application For Resolution Of Injury Claim
    File .pdf (14.5 Kbytes)
  • Application For Resolution Of Occupational Disease Claim
    File .pdf (14.1 Kbytes)
  • Application For Split Coverage
    File .pdf (4.9 Kbytes)
  • Application For Split Coverage (employee Leasing
    File .pdf (5 Kbytes)
  • Application For Split Coverage (wrap-up)
    File .pdf (5.1 Kbytes)
  • At A Glance- Utilization Review & Medical Audit: Deficiencies & Recommendations (appendix)
    File .pdf (23 Kbytes)
  • Attorney Fee Election
    File .pdf (5.8 Kbytes)
  • Average Weekly Wage Certification
    File .pdf (21.2 Kbytes)
  • First Report Of Injury Or Illness
    File .pdf (13.6 Kbytes)
  • Hospital Cost To Charge Ratio (2001)
    File .pdf (11.8 Kbytes)
  • Kentucky`s Detailed Codes & Definitions Manual
    File .pdf (287 Kbytes)
  • Medical Dispute
    File .pdf (14 Kbytes)
  • Motion To Substitute Party & Continue Benefits
    File .pdf (6.2 Kbytes)
  • Notice Of Claim Denial Or Acceptance-injury & Hearing Loss
    File .pdf (10.7 Kbytes)
  • Notice Of Claim Denial Or Acceptance-occupational Disease
    File .pdf (10.6 Kbytes)
  • Notice Of Designated Physician
    File .pdf (7.4 Kbytes)
  • Physician`s Medical Report-hearing Loss
    File .pdf (25.4 Kbytes)
  • Physician`s Medical Report-injury
    File .pdf (23.8 Kbytes)
  • Physician`s Medical Report-occupational Disease
    File .pdf (27 Kbytes)
  • Physician`s Medical Report-occupational Disease
    File .pdf (30.1 Kbytes)
  • Physician`s Medical Report-psychological
    File .pdf (17.9 Kbytes)
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