Home
Forms Library
Medical Report Occupational Disease - Kentucky

Medical Report Occupational Disease - Kentucky 2025

Medical Report Occupational Disease - Kentucky Preview on Page 1

See details

4.4 out of 5

37 votes

The document is the October 2016 edition of Form 108 - OD, a Medical Report for Occupational Disease filed with the Kentucky Department of Workers' Claims. It outlines the process for documenting a plaintiff/employee's medical history, examination results, treatment history, diagnostic testing, diagnosis, impairment assessment, causation related to work environment factors, and recommendations for treatment. The form is designed to assist administrative law judges in determining the occupational implications of work-related injuries or diseases.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to change Medical Report Occupational Disease - Kentucky online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

With DocHub, making changes to your paperwork takes only some simple clicks. Follow these fast steps to change the PDF Medical Report Occupational Disease - Kentucky online for free:

Register and log in to your account. Sign in to the editor using your credentials or click on Create free account to test the tool’s features.
Add the Medical Report Occupational Disease - Kentucky for editing. Click on the New Document option above, then drag and drop the document to the upload area, import it from the cloud, or using a link.
Modify your file. Make any changes needed: add text and pictures to your Medical Report Occupational Disease - Kentucky, highlight details that matter, erase sections of content and substitute them with new ones, and add icons, checkmarks, and areas for filling out.
Complete redacting the template. Save the modified document on your device, export it to the cloud, print it right from the editor, or share it with all the parties involved.

Our editor is very easy to use and effective. Try it out now!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How long do you have to file a personal injury lawsuit in Kentucky?

This means you have one year to file a lawsuit after an injury occurs. However, there are some exceptions to this rule which can extend the time you have to file.

How long does an employee have to report an injury in Kentucky?

The law in Kentucky states that an injured employee should provide notice of their work-related injury to their employer immediately. More specifically, the employees or independent contractors must report the work accident within 7 days of when the injury happened.

How long do you have to report a work injury in Kentucky?

Likewise, when you first experience an occupational disease, you are required to report it to your supervisor or other designated person as soon as reasonably possible. Your employer must report the injury or disease to its workers compensation insurance carrier within three days of receiving notification from you.

Can you sue for a work injury years later?

If you could sue in court, it is too late as there would be a three years statute of limitation. If you have not already brought a workers compensation claim, it is too late for this also as there is a two year statute of limitation.

How do you prove occupational disease?

You must provide factual and medical evidence to establish that conditions of employment caused or aggravated the disease or illness. The Office of Workers Compensation Programs (OWCP) understands that gathering the necessary evidence requires substantial effort.

What is an occupational disease claim?

A wound or other condition of the body caused by a specific event or series of events or incidents over more than one work day or work shift.

Can you discipline an employee for not reporting an injury?

Employees who fail to report incidents and injuries before leaving work that day, may be subject to discipline and jeopardize Workers Compensation benefits.

Medical Report Occupational Disease - Kentucky 2025

Here's how it works