Helpful Links And Forms
- Kentucky’s Workers’ Compensation Act: KRS 342 – The Statute setting forth workers’ compensation law
- Kentucky Department of Workers’ Claims – Website for the Kentucky Department of Workers’ Claims
- 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
- Occupational Safety and Health Standards (OSHA)