Form 108 Medical Report - Occupational Disease - Kentucky

Form 108 Medical Report - Occupational Disease - Kentucky

What Is Form 108?

This is a legal form that was released by the Kentucky Department of Workers' Claims - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 108?
A: Form 108 is a Medical Report for Occupational Disease in Kentucky.

Q: Who needs to fill out Form 108?
A: Form 108 should be completed by a medical professional.

Q: What is the purpose of Form 108?
A: The purpose of Form 108 is to document and report occupational diseases.

Q: What information is required on Form 108?
A: Form 108 requires information about the patient's medical history, diagnosis, and work-related factors.

Q: When should I submit Form 108?
A: Form 108 should be submitted as soon as the occupational disease is identified or diagnosed.

Q: Who should I contact if I have questions about Form 108?
A: You can contact the Kentucky Department of Workers' Claims for any questions regarding Form 108.

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Form Details:

  • Released on October 1, 2016;
  • The latest edition provided by the Kentucky Department of Workers' Claims;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 108 by clicking the link below or browse more documents and templates provided by the Kentucky Department of Workers' Claims.

Download Form 108 Medical Report - Occupational Disease - Kentucky

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