Form 375 Application for Approval of Split Coverage Wrap up (Special) Projects - Kentucky

Form 375 Application for Approval of Split Coverage Wrap up (Special) Projects - Kentucky

What Is Form 375?

This is a legal form that was released by the Kentucky Labor Cabinet - 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 375?
A: Form 375 is the Application for Approval of Split Coverage Wrap up (Special) Projects in Kentucky.

Q: What is a split coverage wrap up project?
A: A split coverage wrap up project is a construction project where the liability and workers' compensation insurance coverage is provided by different insurance policies.

Q: Who needs to file Form 375?
A: The party responsible for obtaining the liability insurance coverage for the split coverage wrap up project needs to file Form 375.

Q: Why do I need to file Form 375?
A: Filing Form 375 ensures that the split coverage wrap up project is approved and compliant with the regulations in Kentucky.

Q: Are there any fees for filing Form 375?
A: No, there are no fees for filing Form 375 in Kentucky.

Q: Are there any deadlines for filing Form 375?
A: Yes, Form 375 must be filed at least 30 days prior to the start of the split coverage wrap up project.

Q: What information is required on Form 375?
A: Form 375 requires information about the split coverage wrap up project, the parties involved, and the respective insurance policies.

Q: Who should I contact for more information about Form 375?
A: For more information about Form 375, you should contact the Kentucky Department of Workers' Claims.

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Form Details:

  • The latest edition provided by the Kentucky Labor Cabinet;
  • 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 375 by clicking the link below or browse more documents and templates provided by the Kentucky Labor Cabinet.

Download Form 375 Application for Approval of Split Coverage Wrap up (Special) Projects - Kentucky

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