ACORD 179 KS (2005/11)

Section Name
Field Name
Field and/or Section Description
ACORD 179 KS (2005/11)
Kansas Cancellation of Election of
Coverage for Volunteer Workers
Use this form to notify the Kansas Division of Workers Compensation that an employer
cancels a previous election to provide workers compensation coverage for volunteer
ACORD 179 KS (2005/11)
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