Forms

Near Miss Information

Accident Flow Chart

Application
        Dairy
        Feedlot
        Aviation

Notice Requirements – English
Notice Requirements – Spanish

Information for Injured Employees – English (K-WC 27)
Information for Injured Employees – Spanish (K-WC 270)

Independent Contractors – Every independent, self-employed contractor should provide the employer with a completed and signed affidavit found at this link (from ksinsurance.org):
        Affidavit of Exempt Status – [English] [Spanish]

Employer Posting Notice (K-WC 40) – This form must be posted and maintained by the employer in one or more conspicuous places.

Department of Labor – Occupational Safety & Health Administration
       OSHA 300