Get the free K-WC 113 - Kansas Department of Labor
Show details
BEFORE THE APPEALS BOARD FOR THE KANSAS DIVISION OF WORKERS COMPENSATIONTHOMAS HERD Claimant VS. M. BRENNER & CO., INC. Respondent AND GREAT WEST CASUALTY CO. Insurance Carrier))))))))))))Docket No.
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign k-wc 113 - kansas
Edit your k-wc 113 - kansas form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share your form instantly
Email, fax, or share your k-wc 113 - kansas form via URL. You can also download, print, or export forms to your preferred cloud storage service.
How to edit k-wc 113 - kansas online
Use the instructions below to start using our professional PDF editor:
1
Log in to your account. Start Free Trial and register a profile if you don't have one yet.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit k-wc 113 - kansas. Text may be added and replaced, new objects can be included, pages can be rearranged, watermarks and page numbers can be added, and so on. When you're done editing, click Done and then go to the Documents tab to combine, divide, lock, or unlock the file.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
It's easier to work with documents with pdfFiller than you can have ever thought. You can sign up for an account to see for yourself.
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
How to fill out k-wc 113 - kansas
How to fill out k-wc 113 - kansas
01
To fill out k-wc 113 - kansas, follow these steps:
02
Begin by entering the relevant information about the employee: their name, address, and social security number.
03
Next, fill in the details about the employer, including their name, address, and contact information.
04
Provide the date of the injury or illness that the employee is claiming workers' compensation for.
05
Describe the nature of the injury or illness in detail, including the body parts affected and the circumstances surrounding the incident.
06
Indicate whether the employee required medical treatment and provide details about the healthcare provider and treatments received.
07
State whether the employee missed work and, if so, provide the dates and number of days they were absent.
08
Finally, both the employee and employer should sign and date the form to certify its accuracy.
09
Make sure to review the completed form for any errors or missing information before submitting it.
Who needs k-wc 113 - kansas?
01
k-wc 113 - kansas is needed by any employee in Kansas who has suffered a work-related injury or illness and wishes to file a claim for workers' compensation benefits.
Fill
form
: Try Risk Free
For pdfFiller’s FAQs
Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
How do I modify my k-wc 113 - kansas in Gmail?
It's easy to use pdfFiller's Gmail add-on to make and edit your k-wc 113 - kansas and any other documents you get right in your email. You can also eSign them. Take a look at the Google Workspace Marketplace and get pdfFiller for Gmail. Get rid of the time-consuming steps and easily manage your documents and eSignatures with the help of an app.
How do I edit k-wc 113 - kansas straight from my smartphone?
The pdfFiller apps for iOS and Android smartphones are available in the Apple Store and Google Play Store. You may also get the program at https://edit-pdf-ios-android.pdffiller.com/. Open the web app, sign in, and start editing k-wc 113 - kansas.
How do I complete k-wc 113 - kansas on an Android device?
Use the pdfFiller mobile app and complete your k-wc 113 - kansas and other documents on your Android device. The app provides you with all essential document management features, such as editing content, eSigning, annotating, sharing files, etc. You will have access to your documents at any time, as long as there is an internet connection.
What is k-wc 113 - kansas?
K-WC 113 - Kansas is a form used for reporting workers' compensation insurance coverage.
Who is required to file k-wc 113 - kansas?
All Kansas employers with workers' compensation insurance coverage are required to file K-WC 113.
How to fill out k-wc 113 - kansas?
The K-WC 113 form can be filled out electronically through the Kansas Department of Labor website or submitted through mail. It requires information about the employer, insurance provider, and coverage details.
What is the purpose of k-wc 113 - kansas?
The purpose of K-WC 113 is to ensure that employers have workers' compensation insurance coverage for their employees, as required by law.
What information must be reported on k-wc 113 - kansas?
Information such as employer's name, address, FEIN, insurance provider details, policy number, coverage dates, and number of covered employees must be reported on K-WC 113.
Fill out your k-wc 113 - kansas online with pdfFiller!
pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.
K-Wc 113 - Kansas is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.
