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Section Name |
Field Name |
Field and/or Section Description |
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Use this form to notify the Kansas Division of Workers Compensation that an employer |
|
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cancels a previous election to provide workers compensation coverage for persons |
|
Kansas Cancellation of Election of |
performing public or community service as a result of a contract of diversion, assignment |
|
TITLE |
Coverage for Persons Performing |
to a community corrections program or suspension of sentence or as a condition of |
|
ACORD 181 KS (2005/11) |
Public Service |
probation or in lieu of a fine. |