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Forms.Welcome to the KWORCC Forms page, your resource for accessing all necessary documentation related to workplace safety, accident reporting, and workers’ compensation. Here, you’ll find a comprehensive range of forms to ensure timely and accurate reporting, proper authorization for medical treatment, and important notices related to employee safety and coverage.
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Forms for Injured WorkersReporting Claim to CIS
Authorization for Work Comp Medical Treatment KWORCC Injured Worker Information First Fill Prescription Cards |
Other Forms2026 Underwriting Worksheets - Excel
Underwriting Worksheet Instructions County Underwriting Checklist 2026 Payroll Audit Checklist Contractors Election to Waive Coverage Designation of Reporting Supervisor Employee Counseling Exposure Incident Investigation Hepatitis B Vaccine Consent KWORCC Injury/Incident Investigation KWORCC - Notice - Form 40 K-WC-123 - Volunteer Election Form K-WC-135 - Community Service Election Form Modified Duty Offer Monthly Safety Checklist New Employee Safety Checklist Post Exposure Checklist Safety Committee Minutes Supervisor Accident Investigation Supervisor Self Rating Vaccination Declination |