Accident Prevention Program

Year End Accident Prevention Report Instructions (6-24)

By state law K.S.A. 44-5,104, insurance companies and group-funded self-insurance plans providing Workers Compensation coverage to employers in Kansas are required to provide certain safety services to those they insure.

If you are a public or private sector EMPLOYER who believes their insurance carrier or group-funded self-insurance plan has not provided accident prevention services, you may file a complaint with the Kansas Department of Labor.

• (Online) Complaint Against Workers Compensation Insurance Carrier or Group-Funded Self-Insurance Plan
• (Printable)Complaint Against Workers Compensation Insurance Carrier OR Group-Funded Self-Insurance Plan

Accident Prevention Notice for Employers:
If your Workers Compensation carrier denied you assistance with your health and safety program, please contact the Accident Prevention Administrator.

Accident Prevention Notice for Insurance Companies and Group-Funded Self-Insurance Plans:
Insurance companies and group-funded self-insurance plans licensed to write Workers Compensation coverage in Kansas must file the Year-end Accident Prevention Report (K-ISH 28) below with the Kansas Department of Labor annually after the close of the state fiscal year. The period to be covered by the report is from July 1 of the previous year through June 30 of the current year. This report must be received between July 1 and August 31, unless an extension has been requested and granted.

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