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