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Wichita Kansas Form 5020: What You Should Know

Note: Claim forms and other documents must be turned in to City Hall no later than 3 business days from date of injury (not including day of incident). (If you are the victim of workplace violence and want to file an employee compensation claim, visit ) This document provides information and links to your state of residence. Workers' Compensation The Kansas Department of Labor (DL) enforces Kansas' Workers' Compensation act that was enacted in 1968. Under Kansas law you can seek compensation any time your body is injured while performing work or performing a service at your place of employment. The law provides that any person who has worked more than five hundred eighty (520) clock hours in a workweek and, as a result of such work injuries, suffers permanent disfigurement or a permanent impairment of any bodily function, including pain and suffering, shall be eligible for compensation under the Act. In some cases, an employer may be obligated to provide an injury benefit under laws that protect employee health while working. However, the Kansas Code does not provide for a right to medical treatment in the event of an employer's failure to provide medical care to an injured worker. In Kansas, there are two ways to obtain medical treatment. The first way is to obtain treatment in the workplace. The second way is to file an appropriate claim for medical benefits through the Compensation Board. Kansas law provides that an injured worker is entitled to medical treatment unless a worker's compensation claim has been filed in good faith under the Act, and that the worker has received notice of and signed an approved claim form. The Kansas courts have held that workers have “standing” to obtain treatment in the workplace when they are injured while performing “executive, professional, or managerial” duties. The Kansas Compensation Board is responsible for collecting payments from employers and workers. The board provides a comprehensive listing of benefits available under Kansas law. For a complete list of available benefits, visit You can download this form to use on your computer, printing instructions are included. (Please make sure you print and sign the document before signing) K-WC 270-B.

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