Form 107 Medical Report - Injury / Hearing Loss, Psychological Condition - Kentucky

What Is Form 107?

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 107?
A: Form 107 is a medical report used in Kentucky to document injuries, hearing loss, and psychological conditions.

Q: Who uses Form 107?
A: Form 107 is used by individuals who have suffered an injury, hearing loss, or psychological condition in Kentucky.

Q: What information is required on Form 107?
A: Form 107 requires information about the individual's personal details, the injury or condition being reported, and medical information related to the injury or condition.

Q: Who should fill out Form 107?
A: Form 107 should be filled out by a medical professional who has treated or evaluated the individual's injury, hearing loss, or psychological condition.

Q: Is Form 107 mandatory?
A: Yes, Form 107 is mandatory in Kentucky for individuals seeking compensation for an injury, hearing loss, or psychological condition.

Q: What should I do with Form 107 once it's filled out?
A: Once Form 107 is filled out, you should submit it to the Kentucky Workers' Compensation Board along with any other required documents.

Q: What happens after I submit Form 107?
A: After submitting Form 107, your claim will be reviewed by the Kentucky Workers' Compensation Board to determine if you are eligible for compensation.

Q: How long does it take to process a claim using Form 107?
A: The processing time for a claim using Form 107 can vary, but it typically takes several weeks to months depending on the complexity of the case.