Get Ks K-wc 113 2017-2025

The KS K-WC 113 form is essential for individuals, partners, or members of a limited liability company to elect coverage under the Kansas Workers Compensation Act. This guide provides clear, step-by-step instructions to assist users in completing the form online.

Follow the steps to complete the KS K-WC 113 online form effortlessly.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Begin filling out the form by providing the full name of the individual who will be covered under the Act. Ensure the name is accurate as it will be used for identification purposes.
3. Enter the Social Security number (SSN) of the individual to be covered. This number is mandatory for processing.
4. Provide an email address for future correspondence regarding your application.
5. Fill in the address of the business where the individual is employed or conducts their business activities. Include the street address, city, state, and ZIP code.
6. If applicable, state the name of the business (DBA), and include the Federal Employer Identification Number (FEIN) associated with the business.
7. The individual must then confirm their status by selecting whether they are a sole owner, partner, member of a limited liability company, or a self-employed individual by marking the appropriate options.
8. The individual should sign the form, indicating their consent to come under the coverage of the Kansas Workers Compensation Act, and date the signature.
9. Complete the section for the insurance carrier or group-funded pool at the bottom of the form. The representative from the insurance policy must provide their signature and the date coverage begins.
10. After all fields are completed, you can save changes, download, print, or share the completed form for submission.

Start filling out your KS K-WC 113 online today to ensure your coverage under the Kansas Workers Compensation Act.