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{class="scroll_to"} 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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