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AFFIDAVIT OF EXEMPTION FROM THE KENTUCKY WORKERS COMPENSATION ACT (Individual) Applicant, pursuant to KRS 342.610(5), hereby declares exemption from the requirement to obtain worker's compensation.

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How to fill out the Krs 342 610 online

Filling out the Krs 342 610 form is an important step for individuals seeking exemption from the requirements of the Kentucky Workers Compensation Act. This guide provides a clear and supportive overview of the process, ensuring that you can complete the form online with confidence.

Follow the steps to successfully complete the Krs 342 610 form online.

  1. Click the ‘Get Form’ button to access the Krs 342 610 form and open it in your preferred editor.
  2. In the first section, enter your full name. Make sure to provide your legal name as it appears on official documents.
  3. Next, fill in your home address, including street address, city, state, and zip code. Double-check for accuracy.
  4. Provide your phone number in the designated field. Ensure that this is a number where you can be reached easily.
  5. Input your Federal Employer Identification Number (FEIN) or Social Security Number (SSN) as applicable. Be cautious to enter these numbers correctly.
  6. Indicate the average number of employees you have. This number is essential for determining your eligibility for exemption.
  7. Review the declaration statement indicating that all information provided is true and correct. After confirming its accuracy, sign the form either as the applicant or an authorized agent.
  8. Finally, ensure the form is dated appropriately. If necessary, include the date of acknowledgment from a notary public.
  9. Once all fields are completed and reviewed, you can save changes, download the form, print it, or share it as needed.

Complete your Krs 342 610 form online today for a streamlined exemption process.

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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.

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.

In Kentucky, every business with one employee or more must provide workers' compensation insurance.

When is workers' compensation insurance required? Employers with one or more workers are required to maintain coverage. There are no exceptions for family member employees, temporary, or part time employees. Out-of-state employers performing any work in this state are required to have Kentucky coverage.

“No employee shall be harassed, coerced, discharged, or discriminated against in any manner whatsoever for filing and pursuing a lawful claim under this chapter.” Proving retaliatory discharge is typically difficult, yet far from impossible.

Seek immediate, appropriate medical attention at the nearest medical facility (if warranted). The Kentucky Workers' Compensation Law (KRS Chapter 342) states that an employee who sustains a work-related injury or disease is entitled to immediate and continuing medical treatment at the expense of the employer.

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