1. K-State home
  2. »Human resources
  3. »Forms
  4. »Workers’ Compensation Insurance

Human Resources

Human Resources
Kansas State University
103 Edwards Hall
Manhattan, KS 66506-4801

 

Directions to HR

HR Staff Directory

Contact HR
785-532-6277
785-532-6095 fax

Accident Report (1101-A) (Workers' Compensation)

Fill out the Accident/Injury Report (pdf)

The Accident Report (1101-A) is to be completed by or for the injured employee, signed by the department head or designated official, and submitted to the Division of Human Resources within three working days of the accident/injury.