KANSAS DEPARTMENT OF LABOR
ORDER FORM FOR WORKERS COMPENSATION PUBLICATIONS
K-WC 300 (Rev. 2-16)
The Schedule of Medical Fees is also available at: /WorkComp/medfeesched.aspx
The Laws & Regulations book is also available at: /WorkComp/frmpub2.aspx
Schedule of Medical Fees – Jan. 1, 2015
Excel file via email (single table of codes & maximum fees only) @ $40.00
Laws & Regulations – April 25, 2013
Complete Edition (includes updated pages and binder; 136 pages)
_____ copies @ $______ per copy postpaid
Updated pages only (102 Pages)
______ copies @ $______ per copy postpaid
Service Charges:(Select only one payment option listed below)
The payment option not used should be set at zero.
If paying by check, $1.50 will be added to the Product Total.
If paying by credit card, 2.5% charge will be added to the Product Total.
ORDER TOTAL $________
*Purchaser’s name: ______________________________________________________________
Business name: _________________________________________________________________
*Mailing address: ________________________________________________________________
*City: ________________________________________ *State: _______ *ZIP: ________________
*Phone: _________________________ *Email: _________________________________________
Personal or Business Check: The Kansas Department of Labor is now using KanPay to process check
payments for security purposes. Please add $1.50 to the product total for a processing service charge.
Mail your check payable to the Kansas Division of Workers Compensation to:
Kansas Department of Labor
Division of Workers Compensation
401 SW Topeka Blvd., Suite 2
Topeka, KS 66603-3105
Credit Card: The Kansas Department of Labor is now using KanPay to process credit card payments
for security purposes. A 2.5% service charge will be added to the product total. You will receive a
KanPay receipt of payment by email.
c Discover c American Express
Expiration Date: MO
Name as it appears on card: __________________________________________
Or call: Division of Workers Compensation (785) 296-4000, ext. 2131 FAX: (785) 296-0839