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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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Workers' comp waiting periods by state StateWaiting period to receive workers' compKansas7 daysKentucky7 daysLouisiana7 daysMaine7 days48 more rows • Feb 28, 2023

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 ...

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.

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.

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.

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%).

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.

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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© 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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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