Form K-WC300 "Order Form for Workers Compensation Publications" - Kansas

What Is Form K-WC300?

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

Form Details:

  • Released on January 1, 2019;
  • The latest edition provided by the Kansas Department of Labor;
  • 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 fillable version of Form K-WC300 by clicking the link below or browse more documents and templates provided by the Kansas Department of Labor.

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Download Form K-WC300 "Order Form for Workers Compensation Publications" - Kansas

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KANSAS DEPARTMENT OF LABOR
www.dol.ks.gov
ORDER FORM FOR WORKERS COMPENSATION PUBLICATIONS
K-WC 300 (Rev. 1-19)
The following publications are available for download:
Schedule of Medical Fees: www.dol.ks.gov/WorkComp/medfeesched.aspx
Laws & Regulations book: www.dol.ks.gov/WorkComp/frmpub2.aspx
Schedule of Medical Fees – March 29, 2019
$
______ copies @ $
per copy postpaid
______________
0.00
40.00
Laws & Regulations – July 1, 2017
$
______ copies @ $
per copy postpaid
______________
0.00
17.50
Product Total $
______________
0.00
Service Charges: (Select only one payment option listed below)
The payment option not used should be set at zero.
$______________
If paying by check, $1.50 will be added to the Product Total.
1.50
$______________
If paying by credit card, a
%charge will be added to the Product Total
.
0.00
2.50
$______________
ORDER TOTAL
1.50
*
Required field
*Purchaser’s name: ______________________________________________________________
Business name: _________________________________________________________________
*Mailing address: ________________________________________________________________
*City: ________________________________________ *State: _______ *ZIP: ________________
(
)
*Phone: _________________________ *Email: _________________________________________
PAYMENT OPTIONS
Personal or Business Check: The Kansas Department of Labor is now using KanPay to process check
payments for security purposes. Please add $1.50 to the product total for a processing service charge.
Mail your check payable to the Kansas Division of Workers Compensation to:
Kansas Department of Labor
Division of Workers Compensation
401 SW Topeka Blvd., Suite 2
Topeka, KS 66603-3105
Credit Card: The Kansas Department of Labor is now using KanPay to process credit card payments
for security purposes. A 2.5% service charge will be added to the product total. You will receive a
KanPay receipt of payment by email.
c VISA
c MasterCard
Card #
c Discover c American Express
Expiration Date: MO
YR
Name as it appears on card: __________________________________________
Or call: Kansas Division of Workers Compensation (785) 296-4000 FAX: (785) 296-0839
KANSAS DEPARTMENT OF LABOR
www.dol.ks.gov
ORDER FORM FOR WORKERS COMPENSATION PUBLICATIONS
K-WC 300 (Rev. 1-19)
The following publications are available for download:
Schedule of Medical Fees: www.dol.ks.gov/WorkComp/medfeesched.aspx
Laws & Regulations book: www.dol.ks.gov/WorkComp/frmpub2.aspx
Schedule of Medical Fees – March 29, 2019
$
______ copies @ $
per copy postpaid
______________
0.00
40.00
Laws & Regulations – July 1, 2017
$
______ copies @ $
per copy postpaid
______________
0.00
17.50
Product Total $
______________
0.00
Service Charges: (Select only one payment option listed below)
The payment option not used should be set at zero.
$______________
If paying by check, $1.50 will be added to the Product Total.
1.50
$______________
If paying by credit card, a
%charge will be added to the Product Total
.
0.00
2.50
$______________
ORDER TOTAL
1.50
*
Required field
*Purchaser’s name: ______________________________________________________________
Business name: _________________________________________________________________
*Mailing address: ________________________________________________________________
*City: ________________________________________ *State: _______ *ZIP: ________________
(
)
*Phone: _________________________ *Email: _________________________________________
PAYMENT OPTIONS
Personal or Business Check: The Kansas Department of Labor is now using KanPay to process check
payments for security purposes. Please add $1.50 to the product total for a processing service charge.
Mail your check payable to the Kansas Division of Workers Compensation to:
Kansas Department of Labor
Division of Workers Compensation
401 SW Topeka Blvd., Suite 2
Topeka, KS 66603-3105
Credit Card: The Kansas Department of Labor is now using KanPay to process credit card payments
for security purposes. A 2.5% service charge will be added to the product total. You will receive a
KanPay receipt of payment by email.
c VISA
c MasterCard
Card #
c Discover c American Express
Expiration Date: MO
YR
Name as it appears on card: __________________________________________
Or call: Kansas Division of Workers Compensation (785) 296-4000 FAX: (785) 296-0839