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Form 101 Revised 6/05 KENTUCKY DEPARTMENT OF WORKERS' CLAIMS Application for Resolution of Injury Claim Claim No. vs. Plaintiff Social Security Number Birth Date Street Address City/State/Zip Code.

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You are supposed to receive your first Workers' Compensation check within 21 days of telling your employer about your work-related injury. However, there are some nuances to this, including which state you live in, the circumstances of your case and the extent of your injuries and medical bills.

Your employer must give or mail you a claim form within one working day after learning about your injury or illness. If your employer doesn't give you the claim form you can download it from the forms page of the DWC website or contact the Information and Assistance Unit.

The employee should report the injury in writing to the employer immediately, but no later than thirty days after the injury.

Workers' compensation in Kentucky is an employer-funded program which pays the medical bills, medical expenses, and lost wages for employees who are injured on the job or injured as a result of a workplace accident.

Step-By-Step Guide to Filing a Workers' Comp Claim in KY Report the accident and injury as soon as possible. Receive medical care to start your treatment. File the proper forms promptly. Hire a lawyer to help you through the process.

Step-By-Step Guide to Filing a Workers' Comp Claim in KY Report the accident and injury as soon as possible. Receive medical care to start your treatment. File the proper forms promptly. Hire a lawyer to help you through the process.

Form 1A-1 First Report of Injury (FROI). As soon as you have been notified of a work-related injury, please fill out this form and submit it to EMPLOYERS. This form must be completed within 10 days from notice of an accident. Fatalities must be reported within 24 hours.

Compensation waiting period If you are out of work for more than 14 calendar days, you will then be paid for the seven-day waiting period. Wage benefits are payable on the employer's regular payday, starting 7 days after the injury.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232