Forms | KBIG

Helpful forms for your convenience. Please click a link below to download/access the document you desire.

adobe-pdf-logo2015 KBIWCF

adobe-pdf-logoLicensed Renovation Firm Application – KS300

adobe-pdf-logoDrug Policy

adobe-pdf-logoElection of Jurisdiction-Spanish

adobe-pdf-logoElection of Jurisdiction

adobe-pdf-logoEmployee listing as of 11-9-12

adobe-pdf-logoEmployee Statement

adobe-pdf-logoerm_14_2003

adobe-pdf-logoGWC-3

adobe-pdf-logoGWC-9-2

adobe-pdf-logoGWC-9

adobe-pdf-logoInstruction for Employee Listing 032911

adobe-pdf-logoKWC 50 (8-10)-2

adobe-pdf-logoKWC 50 (8-10) – State of Kansas, Department of Human Resources, Division of Workers Compensation: Election not to accept coverage under Workers Compensation Act by employee who 10% or more of corporate stock or corporate employer.

adobe-pdf-logoKWC-50a (Rev-10-04) -State of Kansas, Department of Human Resources, Division of Workers Compensation: Cancellation of Election not to accept coverage under the Kansas Workers Compensation Act by employee who owns 10% or more of corporate stock or corporate employer.

adobe-pdf-logoKWC51(Rev-10-04) – State of Kansas, Department of Human Resources, Division of Workers Compensation: Election of Employer to cover Employee under Kansas Workers Compensation Act where employer has less than $20,000 payroll or is agricultural pursuit.

adobe-pdf-logoKWC113(Rev_5-10) – State of Kansas, Department of Human Resources, Division of Workers Compensation: Election of Individual, Partner or Self-Employed individual to come within the provision of the Kansas Workers Compensation Act.

adobe-pdf-logoKWC114(Rev_5-10) – State of Kansas, Department of Human Resources, Division of Workers Compensation: Cancellation of Election of Individual, Partner or Self-Employed individual to come within the provision of the Kansas Workers Compensation Act.

adobe-pdf-logokwc1101a 2-27-13

adobe-pdf-logoPaycheck Statement

adobe-pdf-logoPolicies and Procedures of KBIG

adobe-pdf-logoRegistration Form 2-8-13_distributed

adobe-pdf-logoPS as of 4-22-13_distributed

adobe-pdf-logoNo Loss Statement

adobe-pdf-logoUnderwriting Information Questionnaire

adobe-pdf-logoUSERRA_Private-2

adobe-pdf-logoUSERRA Private

adobe-pdf-logoW9 Distributed

adobe-pdf-logoVideo’s (NEW LIST) AS OF 2-28-2011

adobe-pdf-logoWitness Statement