KWORCC
  • About KWORCC
  • Board of Trustees
    • Officers & Committees
    • Board Meeting Dates
  • Claims Reporting
  • Loss Prevention
    • Brandon's Loss Prevention Publications
    • Brandon's Online Courses >
      • Defensive Driving
      • Defensive Driving - Spanish
      • Ergonomics & Safe Lifting
      • Flagger Training
      • Fork Lift
      • Hazard Communications Training
      • Managing Financial Risk
      • R&B Safety & Risk Management
    • KTJA Grant
    • In Person Training
    • Kansas DOL Help >
      • Emergency Action Plan
      • Hazard Communication
      • PPE
      • Bloodborne Pathogens
      • Lockout Tagout
    • Safety Video LIbrary >
      • DVDs Available
      • VHS Tapes Available
  • Member Resources
    • Bylaws
    • Coverage and Limits
    • Forms for Injured Workers
    • Other Forms
    • KWORDS
    • Manuals
    • Policies
  • Members
  • Contact
  • Links
  • Annual Meeting
  • COVID-19
  • About KWORCC
  • Board of Trustees
    • Officers & Committees
    • Board Meeting Dates
  • Claims Reporting
  • Loss Prevention
    • Brandon's Loss Prevention Publications
    • Brandon's Online Courses >
      • Defensive Driving
      • Defensive Driving - Spanish
      • Ergonomics & Safe Lifting
      • Flagger Training
      • Fork Lift
      • Hazard Communications Training
      • Managing Financial Risk
      • R&B Safety & Risk Management
    • KTJA Grant
    • In Person Training
    • Kansas DOL Help >
      • Emergency Action Plan
      • Hazard Communication
      • PPE
      • Bloodborne Pathogens
      • Lockout Tagout
    • Safety Video LIbrary >
      • DVDs Available
      • VHS Tapes Available
  • Member Resources
    • Bylaws
    • Coverage and Limits
    • Forms for Injured Workers
    • Other Forms
    • KWORDS
    • Manuals
    • Policies
  • Members
  • Contact
  • Links
  • Annual Meeting
  • COVID-19
KWORCC

Forms for Injured Workers

Authorization for Work Comp Medical Treatment
Excel version
PDF Version
KWORCC Injured Worker Information
Form 27 English
From 270 Spanish
First Fill Prescription Cards
Aspen Comp Rx - English
Aspen Comp Rx - Spanish
Drug Testing Notice and Consent