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DIVISION OF WORKERS COMPENSATION KS DEPT OF HUMAN RESOURCES 800 SW JACKSON STE 600 TOPEKA KS 66612-1227 EMPLOYER'S REPORT OF ACCIDENT Submit original report only DO NOT WRITE IN THIS SPACE OSHA Case

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Kansas - wcpolicycom is a form used to report workers' compensation insurance coverage in the state of Kansas.

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The purpose of kansas - wcpolicycom is to ensure that employers in Kansas have workers' compensation insurance coverage to protect their employees in case of work-related injuries.

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Employers must report their workers' compensation insurance policy number, coverage dates, insurance carrier information, and other relevant details on the kansas - wcpolicycom form.

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