Information For Injured Employees Sheet printable pdf download

KANSAS DEPARTMENT OF LABOR

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INFORMATION FOR INJURED EMPLOYEES

K-WC 27-A (Rev. 11-16)

* THIS NOTICE APPLIES TO ACCIDENTS ON OR AFTER APRIL 25, 2013 *

Employers are required to provide this information to each injured worker

WHAT TO DO IF AN INJURY OCCURS ON THE JOB

If you have any questions about workers compensation benefits, contact the Division of Workers

Compensation at the phone number at the bottom of the page. Assistance in Spanish is available.

(1) NOTIFY YOUR EMPLOYER IMMEDIATELY: Per K.S.A. 44-520, a claim may be denied

if an employee fails to notify their employer within the earliest of the following dates: (A) 20 calendar

days from the date of accident or the date of injury by repetitive trauma; (B) if the employee is

working for the employer against whom benefits are being sought and such employee seeks medical

treatment for any injury by accident or repetitive trauma, 20 calendar days from the date such medical

treatment is sought; or (C) if the employee no longer works for the employer against whom benefits

are being sought, 10 calendar days after the employee’s last day of actual work for the employer.

Notice may be given orally or in writing. Where notice is provided orally, if the employer has

designated an individual or department to whom notice must be given and such designation has been

communicated in writing to the employee, notice to any other individual or department shall be

insufficient under this section. If the employer has not designated an individual or department to whom

notice must be given, notice must be provided to a supervisor or manager.

Where notice is provided in writing, notice must be sent to a supervisor or manager at the

employee’s principal location of employment.

The notice, whether provided orally or in writing, shall include the time, date, place, person

injured and particulars of such injury. It must be apparent from the content of the notice that the

employee is claiming benefits under the workers compensation act or has suffered a work-related

injury.

(2) FOLLOW YOUR EMPLOYER’S INSTRUCTIONS for getting medical aid and follow the

doctor’s instructions.

(3) MEDICAL BENEFITS: An injured worker is entitled to all medical services reasonably

necessary to cure and relieve the worker from the effects of the injury. The employer has the right to

select the doctor who will treat the injury. A worker may seek the services of an unauthorized doctor

up to a limit of $500.00. A worker may apply to the Workers Compensation Director to change the

authorized treating doctor. Reimbursement for travel to obtain medical treatment is payable at a rate

set by law for trips that are five miles or more (round trip).

(4) WEEKLY BENEFITS: Benefits are paid by the employer’s insurance carrier or self

insurance program. Injured workers are not entitled to compensation for the first week they are off

work unless they lose three consecutive weeks. The first compensation payment is normally due at the

day of lost time. An injured employee is entitled to a weekly amount of 66 ⅔ percent of

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his/her average weekly wage up to a maximum of 75 percent of the state’s average weekly wage.

These benefits are subject to legislative changes. If the injury results in permanent disability, the

Kansas Workers Compensation law provides for additional benefits.

DIVISION OF WORKERS COMPENSATION – OMBUDSMAN / CLAIMS ADVISORY UNIT

401 SW Topeka Blvd., Ste. 2, Topeka, KS 66603-3105 • Phone (785) 296-4000, (800) 332-0353 • Fax (785) 296-0025

Information For Injured Employees Sheet

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