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4-13). * THIS NOTICE APPLIES TO ACCIDENTS ON OR AFTER APRIL 25, 2013 * ... Wichita, KS 67201-2992. Tina Cox. 800 288-6732 tina.cox corisksol.com.

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How to fill out the KWC 27A (Rev) online

The KWC 27A (Rev) is an essential form for injured employees in Kansas, providing crucial information regarding workers' compensation benefits. This guide offers step-by-step instructions to help users successfully complete the form online.

Follow the steps to fill out the KWC 27A (Rev) with ease.

  1. Click ‘Get Form’ button to access the KWC 27A (Rev) form and open it in the document editor.
  2. Review the document for any required information. Start by entering the name of the company that will be handling your claim under 'Your claim will be handled by.'
  3. Input the relevant contact information, including the address and phone number of the claims handling company.
  4. Include the name of the contact person, ensuring that you provide a valid email address for any follow-up communications.
  5. Read through the responsibilities of both the employee and employer, ensuring you are aware of your rights regarding medical benefits and weekly compensation.
  6. After completing all necessary fields, double-check the accuracy of your entries to ensure that the information is correct and complete.
  7. Finally, save your changes, download the filled form, or choose to print or share it as necessary.

Complete your KWC 27A (Rev) form online to ensure a smooth claims process.

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For additional help with verifying workers compensation coverage in Kansas, call the Kansas Department of Labor, Division of Workers Compensation, Coverage and Compliance, at 785-296- 6767.

Workers' compensation is insurance that provides cash benefits and/or medical care for workers who are injured or become ill as a direct result of their job. Employers pay for this insurance, and shall not require the employee to contribute to the cost of compensation.

Kansas Has Strict Time Limits. 20 days from the date of the accident. 20 days from the day you sought medical treatment if you are still working. 10 days from when you left the company.

Replacement funds for lost wages under workers' compensation in Kansas equals two-thirds of your average weekly wage, up to a limit of 75% of the statewide average weekly wage. This figure is based on your gross pay – that is, before tax – during the 26 weeks leading up to your accident.

Benefits are 66.67 percent of an employee's average gross weekly wage, but not less than $25 nor more than the statutory maximum. Total compensation may not exceed $155,000 per injury. Workers compensation insurance in Kansas is mandated by state law for most but not all employers.

There is a one- week waiting period (seven calendar days) before TTD benefits are paid. If the disability continues for three consecutive weeks, the employee is reimbursed for the waiting period. Employees may collect medical benefits during the first week.

Workers' compensation settlement values in Kansas City range from $2,000 to $40,000 or more, with the average amount hovering around $22,000. These figures come from national workers' compensation program data from recent years. However, settlement values can vary drastically from case to case.

File your workers' compensation claim within two years of the date of the injury. If payment was made on account of the injury (or death), the claim must be filed within two years after the last benefit payment that was made.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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