Other Forms

2024 Underwriting Worksheets - Excel
Underwriting Worksheet Instructions
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