Get KY-107P-WC
FORM 107 Medical Report PsychologicalRevised April 2005 COMMONWEALTH OF KENTUCKYOFFICE OF WORKERS CLAIMSMEDICAL REPORT FDR. A. PLAINTIFF INFORMATION1. Plaintiff's name: 2. Address: 3. Social Security.
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FAQ
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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.
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To file for workers' compensation in Kentucky, you will need to submit an Application for Resolution of a Claim, which will then be reviewed by the Division of Claims Processing. Your application will be assigned to an Administrative Law Judge based on your county of residence.
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Two-thirds of your pre-injury average weekly wage will be multiplied by the percentage of your impairment rating; that sum will then be multiplied again by a factor listed in a table in Kentucky law (which goes from a . 65 multiplier for an impairment rating of 5% or less to a 1.7 multiplier for a rating above 35%).
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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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The statute of limitations for Kentucky workers' compensation claims is two years. You must file your claim within two years of either sustaining a work-related injury in an accident or discovering the injury.
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After the first seven days, your employer's workers' compensation insurance carrier will pay you temporary total disability benefits of two-thirds of your average weekly wage (AWW) up to the maximum allowed by the annual benefits schedule.
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The general rule is that "in the absence of special circumstances an employee injured in going to or coming from his place of work is excluded from the benefits of workmen's compensation."3 The theory for excluding employees form the benefits of workmen's compensation while "going to or coming from work" is that they ...
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Workers' comp waiting periods by state StateWaiting period to receive workers' compKansas7 daysKentucky7 daysLouisiana7 daysMaine7 days48 more rows • Feb 28, 2023
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