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Get KS K-WC 113 2017-2024

: (785) 296-0025 Election of Individual, Partner, Member of a Limited Liability Company or Self-Employed Individual to Come Within the Provisions of the Kansas Workers Compensation Act To be processed, ALL entries on this form must be completed. If not completed using the fillable form feature, entries must be neatly printed in black ink or typewritten. This form must be signed and the Social Security number provided. This Election is effective upon receipt by the Kansas Division of Workers Co.

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