Form 102 Trustee Confirmation of Receipt Workers' Compensation Self-insured Group Quarterly Financial Statements - Kentucky

Form 102 Trustee Confirmation of Receipt Workers' Compensation Self-insured Group Quarterly Financial Statements - Kentucky

What Is Form 102?

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 102?
A: Form 102 is a Trustee Confirmation of Receipt for Workers' Compensation Self-insured Group Quarterly Financial Statements.

Q: What is the purpose of Form 102?
A: The purpose of Form 102 is to confirm the receipt of workers' compensation self-insured group quarterly financial statements.

Q: Who is required to complete Form 102?
A: Trustees of workers' compensation self-insured groups in Kentucky are required to complete Form 102.

Q: What information is provided on Form 102?
A: Form 102 includes information about the financial statements being received, the name of the self-insured group, and details about the trustee.

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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;

Download a printable version of Form 102 by clicking the link below or browse more documents and templates provided by the Kentucky Department of Insurance.

Download Form 102 Trustee Confirmation of Receipt Workers' Compensation Self-insured Group Quarterly Financial Statements - Kentucky

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