Form 141 Workers' Compensation Self-insured Groups Election Form for Safekeeping of Securities - Kentucky

Form 141 Workers' Compensation Self-insured Groups Election Form for Safekeeping of Securities - Kentucky

What Is Form 141?

This is a legal form that was released by the Kentucky Department of Insurance - 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 141?
A: Form 141 is the Workers' Compensation Self-insured Groups Election Form for Safekeeping of Securities in Kentucky.

Q: Who should use Form 141?
A: Employers who are self-insured groups and want to elect to have their securities held by the state should use Form 141.

Q: What is the purpose of Form 141?
A: The purpose of Form 141 is to allow self-insured groups to elect to have their securities held by the state for safekeeping.

Q: How do I submit Form 141?
A: You can submit Form 141 to the Kentucky Division of Workers' Compensation either by mail or electronically.

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Form Details:

  • Released on July 1, 2020;
  • The latest edition provided by the Kentucky Department of Insurance;
  • 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 141 by clicking the link below or browse more documents and templates provided by the Kentucky Department of Insurance.

Download Form 141 Workers' Compensation Self-insured Groups Election Form for Safekeeping of Securities - Kentucky

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  • Form 141 Workers Compensation Self-insured Groups Election Form for Safekeeping of Securities - Kentucky, Page 1
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