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

Other Forms

2023 Underwriting Worksheets - Excel
2023 Payroll Worksheet - PDF
2023 Watercraft - PDF
2023 Employee Concentration - PDF
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
Modified Duty Offer
Monthly Safety Checklist
New Employee Safety Checklist
Post Exposure Checklist
Safety Committee Minutes
Supervisor Accident Investigation
Supervisor Self Rating
Vaccination Declination