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Human Resources

Human Resources
Kansas State University
103 Edwards Hall
1810 Kerr Drive
Manhattan, KS 66506-4801


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Contact HR
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.