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Guidebook to Workers’ Compensation - Kentucky

Guidebook to Workers CompensationKENTUCKYC ommonwealth of KentuckyDepartment of Workers Claims657 Chamberlin AvenueFrankfort, KY 40601 T. Lovan502-782-4439 Workers Compensation Specialists Toll Free NumberFrankfort, Louisville, Paducah and Pikeville1-800- 554-8601 NOTE: This Guidebook contains only limited summaries ofKentucky s Workers Compensation Law and is not intended toconstitute binding legal advice. The complete law is in Chapter342 of the Kentucky Revised Statutes and in Chapter 25 of Title803 of the Kentucky Administrative Regulations.

Employees may reject coverage under the Workers’ Compensation Act by signing and filing with the employer an Employee’s Notice of Rejection of Workers’ Compensation Act, commonly known as a Form 4 Waiver. This waiver must be filed with the Department of Workers’ Claims to be effective and will remain in effect until voluntarily withdrawn.

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