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Attorney Fee Election - Kentucky - Kentucky

Attorney Fee Election - Kentucky - Kentucky 2026

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The document is a standard form for Attorney Fee Election used by the Department of Workers Claims in Kentucky. It outlines options for plaintiffs to select how attorney fees will be paid, including payment from personal funds, reduction of weekly benefits, or payment from a lump sum settlement. The form requires certification by both the plaintiff and their attorney.

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Click ‘Get Form’ to open the Attorney Fee Election form in the editor.
Begin by entering your personal information in the designated fields, including your name and contact details.
In the section regarding payment options, carefully read each choice. You can select option A to pay your attorney's fee from personal funds, option B for a lump sum reduction from weekly benefits, or option C if you prefer to pay from a lump sum settlement.
After making your selection, ensure that you certify the accuracy of your election by signing in the appropriate field.
Finally, have your signature notarized by an authorized officer as required before submitting the form.

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