Kansas First Report of Injury Form

Front
Front Back

FED2075

Product Specifications:

  • This form is 8.5" x 11"
  • 25 Forms/Package
$14.95
Availability: In stock

FED2075

SKU
FED2075-Conf
$14.95
Qty:

The Kansas Department of Labor Division of Workers Compensation requires that employers file information immediately if there has been an injury or death in the workplace. Each time an employer fails to file an Accident Report, the employer may be subject to a $250 penalty, as long as the employer knew about the incident and failed to file the report within 28 days.

The Kansas First Report of Injury Form includes questions about how the accident occurred, details about the nature of the injuries, and a classification system for the injury, including no time lost, time lost, and even death. This form also includes information about how to fill the form out in detail, including specific instruction for each of the questions listed in the form.

State Mandatory Updates

State Non-Mandatory Updates

Federal State Mandatory Updates

  • 06/2023 - EEOC Know Your Rights: Workplace Discrimination is Illegal - Revised with new information related to the new Pregnant Workers Fairness Act (PWFA) effective June 27, 2023 and a new revision date.
  • 05/2023 - Fair Labor Standards Act (FLSA) - Federal Minimum Wage - Revised the Nursing Mothers section of the poster with the PUMP for Nursing Mothers Act (PUMP Act) and more clarification on employer requirements to provide reasonable break time and accommodations for nursing employees.
  • 10/2022 - EEOC Know Your Rights: Workplace Discrimination is Illegal - Revised to use plain language and bullet points to summarize the laws for employees. Added a QR code that links to instructions on how to file a charge of workplace discrimination. This new version replaces the old Equal Employment Opportunity is the law poster.

Federal State Non-Mandatory Updates

  • 05/2023 - Family and Medical Leave Act (FMLA) - Revised with a new easy to read question and answer format and a new QR code to access more information.
  • 05/2023 -  - Revised with a new website and a new QR code for more information.
  • 07/2016 - Fair Labor Standards Act (FLSA) - Federal Minimum Wage - Update includes new regulation revisions as of August 2016 which includes text regarding nursing mothers and overtime rules.
  • 07/2016 -  - Update includes new regulation revisions as of August 2016 which includes the removal of penalty amount up to $10,000 against violators and revised contact numbers.
  • 05/2016 -  - Minor update includes a new QR code and contact information.
  • 05/2016 -  - Update includes minor reformatting and slight changes of verbiage regarding the usage of FMLA.