Agent Forms

Name

Fund Facts

Fund Facts

Membership Application

Membership Application

Kentucky AGC/SIF WC & EL Policy Booklet

Kentucky AGC/SIF WC & EL Policy Booklet

Kentucky Insurance Fraud Notice

Kentucky Insurance Fraud Notice

Workers' Compensation Posting Notice

Workers' Compensation Posting Notice

Sample Safety Program

Sample Safety Program

Election Notice

Election Notice

First Report of Injury (Form IA-1)

First Report of Injury (Form IA-1)

Notice to Rescind Election Notice

Notice to Rescind Election Notice

Statement of Net Worth

Statement of Net Worth

Transfer of Assets

Transfer of Assets

Sponsoring Trade Associations