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Attachment C Kentucky IAI ABC POC Reporting Authorization Form Please enroll the company(IES) listed below in CCI?s Kentucky POC Reporting Services. CCI Carrier Group Code: Licensed Kentucky Carriers:

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What is attachment c kentucky iaiabc?

Attachment C Kentucky IAIABC is a form used for reporting workers' compensation claim information to the Kentucky Department of Workers' Claims. It is an attachment to the Annual Report of Income and Benefits (Form IA-3) and provides specific details about each claim including the claim number, injured worker's information, and the employer's information.

Who is required to file attachment c kentucky iaiabc?

Employers in Kentucky who have workers' compensation claims during the reporting period are required to file Attachment C Kentucky IAIABC. It applies to both private and public employers.

How to fill out attachment c kentucky iaiabc?

To fill out Attachment C Kentucky IAIABC, the employer needs to provide information about each workers' compensation claim, including the claim number, injured worker's information (name, address, Social Security number), the employer's information (name, address, federal employer identification number), and other relevant details as required by the form.

What is the purpose of attachment c kentucky iaiabc?

The purpose of Attachment C Kentucky IAIABC is to gather comprehensive information about workers' compensation claims in the state. This information helps the Kentucky Department of Workers' Claims analyze trends, monitor compliance, and ensure that injured workers receive appropriate benefits.

What information must be reported on attachment c kentucky iaiabc?

Attachment C Kentucky IAIABC requires the reporting of various information related to each workers' compensation claim, such as the claim number, injured worker's information (name, address, Social Security number), the employer's information (name, address, federal employer identification number), date of injury, nature of injury, medical treatment received, and other relevant details as specified by the form.

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