The Employer and Employee Tutorials, and the Workers and Employers Frequently Asked Questions, are being revised to reflect changes in the law effective May 15, 2011.
Frequently Asked Questions:
Forms and Publications This links to a page that contains materials that are effective for injuries prior to May 15, 2011
Forms and Publications: 2011 New Law This links to a page that contains materials that are effective for injuries on or after May 15, 2011
Practice and Procedure Guide This guide is being revised to reflect changes in the law effective May 15, 2011.
Official Disability Guidelines
External Resources:
Interactive Map for United States Workers Compensation Agencies
International Association of Industrial Accident Boards and Commissions (IAIABC)
Workers Compensation and HIPAA
Centers for Medicare and Medicaid Services (CMS)
Medicare Information Resources
Forms and Publications
The forms and publications on this page apply only to injuries sustained at work prior to May 15, 2011. Go here for forms and publications that apply to injuries sustained at work on or after May 15, 2011.
NOTICE: The workers comp bill (Substitute for HB 2134) as signed by Governor Brownback can be found below immediately under the Statutes & Regulations heading. This is the enrolled bill version, complete with strikethroughs and italics. The Division will have a cleaned version of the individual statutes in its new law book to be published this fall. Important: The statutes in this bill apply only to injuries sustained at work on or after May 15, 2011.
Workers Compensation Practice and Procedure Guide
K-WC 140 - Death Benefit Information (Rev. 03-12)
K-WC 1101 A - Accident Report (Rev. 01-12) Reader Enabled
Annual Report 2010 (2.00 MB)
Annual Report 2009 (1.49 MB)
Annual Report 2008 (1.44 MB)
Annual Report 2007 (2.14 MB)
Annual Report 2006 (2.37 MB)
Annual Report 2005
Annual Report 2004
Annual Report 2003
Annual Report 2002 Errata
Sheet
Annual Report 2001
Brochures of Various Agency Sections
K-WC-P 100 - Mediation Brochure (Rev. 03-12)
K-WC-P 101 - Ombudsman/Claims Advisory Services (Rev. 03-12)
K-WC 706 - Fraud and Compliance Pamphlet (Rev. 03-12)
Workers
Compensation Practice and Procedure Guide
Elections Filing
K-WC 50 - Election of Employee Not To Accept Coverage (Rev. 5-10) Reader-Enabled
K-WC 50a - Cancellation of Form 50 (Rev. 5-10) Reader-Enabled
K-WC 51 - Employer to Cover Employees Under Act: gross annual payroll is $20,000
or less, or agricultural pursuits (Rev. 5-10) Reader-Enabled
K-WC 51a - Cancellation of Form 51 (Rev. 5-10) Reader-Enabled
K-WC 113 - Individual, Partner, or Self-Employed to Come Under Act (Rev. 5-10) Reader-Enabled
K-WC 114 - Cancellation of Form 113 (Rev. 5-10) Reader-Enabled
K-WC 123 - Employer to Provide Coverage for Volunteer Workers (Rev. 5-10) Reader-Enabled
K-WC 124 - Cancellation of Form 123 (Rev. 5-10) Reader-Enabled
K-WC 135 - Employer to Provide Coverage for Persons Performing Public or Community
Service (Rev. 5-10) Reader-Enabled
K-WC 135a - Cancellation of Form 135 (Rev. 5-10) Reader-Enabled
K-WC 137 - Election of a Non compensated Volunteer Officer, Director, or Trustee of a
Nonprofit Corporation to be Covered Rev. 5-10) Reader-Enabled
K-WC 137a - Cancellation of Form 137 (Rev. 5-10) Reader-Enabled
K-WC 138 - Workers Compensation Election Information (Rev. 02-09)
Workers Compensation Practice and Procedure Guide
K-WC 27 - Important Information for Injured Employees (Rev. 4-06)
Para obtener la forma K-WC 270 en español:
Información Sobre (Rev. 03-05) Información en este documento es efectiva para accidentes antes de Mayo 15, 2011.
K-WC 126 - Independent Contractor or Employee? (Rev. 03-12)
K-WC 530 - Important Information for Employers Regarding Form K-WC 27 and K-WC 270
(Rev. 03-12)
Workers Compensation Practice and Procedure Guide
K-WC D - Final Release (Rev. 03-12)
K-WC E 1 - Application For Hearing (Rev. 03-12)
K-WC E 2 - Surviving Spouse or Dependent / Heirs Application for Hearing (Rev. 03-12)
K-WC E 3 - Application For Preliminary Hearing (Rev. 03-12)
K-WC E 4 - Application For Post Award Medical (Rev. 03-12)
K-WC E 5 - Application For Review and Modification (Rev. 03-12)
K-WC 12 - Worksheet for Settlements: Injury Case (Rev. 03-12)
K-WC 13 - Worksheet for Settlements: Death Case (Rev. 03-12)
K-WC 28 - Information for Self-Represented Litigants (Rev. 04-12) has important information for
injured workers who are representing themselves in a hearing.
K-WC 139 - Pre-Trial Stipulations (Rev. 03-12)
K-WC 160 - Statement Regarding Attorney Fees (Rev. 03-12)
K-WC 280 - Información Para Litigantes Representados A Si Mismos (Rev. 04-12)
contiene información importante para trabajadores lesionados que están representándose a si mismos en una audiencia.
K-WC 317 - Order for Production of Records (Rev. 04-12)
K-WC 300 - Order Form for Workers Compensation Publications (Rev. 1-12) Reader-Enabled
Notice: The Department of Labor will not be publishing a new law book until later in 2012. All current statutes and regulations (new and old) are on this website, accessible via the two links at the bottom of this page.
Electronic Records Download Requestor's Guide (Rev. 03-10)
K-WC 96 - Registration for Access to Electronic Records (Rev. 03-12) Reader-Enabled
K-WC 97 - Employer’s/Carrier's Request For Workers Compensation Records Rev. 03-12)
K-WC 98 - Worker's Request For Workers Compensation Records (Rev. 03-12)
K-WC 308 - Affidavit Attesting to the Use of Public Records (Rev. 03-12)
K-WC 970 - Request for Workers Compensation Records / Solicitud de Datos de los
Expedientes de Compensación de Trabajadores (Rev. 03-12)
K-WC 980 - Solicitud del Trabajador para Registros de Compensación de Trabajadores (Rev. 04-12)
K-WC 20 - Bank Fact Sheet (Rev. 03-12)
K-WC 105 - Employer's Application Oath to Become a Self-Insurer (Rev. 03-12)
K-WC 120 - Application for Self-Insurance (Rev. 04-12)
If you prefer to download an "interactive" Excel version of this form, select: K-WC 120 (Rev. 02-12) - Interactive
K-WC 121 - Assessment Information (Rev. 04-12)
K-WC 129 - Certificate of Excess Insurance (Rev. 03-12)
K-WC 130 - Letter of Credit (Rev. 03-12)
K-WC 130a - Trust Operational Agreement (Rev. 03-12)
K-WC 131 - Self-Insurance Aggregate Surety Bond (Rev. 03-12)
K-WC 131a - Amendatory Rider to Surety Bond (Rev. 03-12)
K-WC 132 - Indemnity & Guaranty Agreement (Rev. 03-12)
K-WC 133 - Statement of Insured (Rev. 03-12)
K-WC 144 - Self-Insurance Information (Rev. 03-12)
K-WC 309 - Why Audited Financial Statements are Required (Rev. 03-12)
K-WC 1441 - Information for Self-Insured Employers on the Kansas Workers
Compensation Act (Rev. 03-12)
Notice: The Department of Labor will not be publishing a new law book until later in 2012. All current statutes and regulations (new and old) are on this website, accessible via the two links below.
Substitute for House Bill 2134 Enrolled
This is the bill passed and signed in 2011, containing all changes (additions and deletions) to the workers compensation statutes in 2011.
Workers Compensation Laws & RegulationsThis is the complete set of laws and regulations concerning workers compensation in Kansas,
incorporating changes made in the 2006 and 2007 legislative sessions.
Contact us at:
Kansas Department of Labor
Division of Workers Compensation
401 SW Topeka Blvd Ste 2
Topeka, Kansas 66603-3105
E-mail: wc@dol.ks.gov
