The Agreement Section processes and records all Settlement Agreements/Forms 110s received by the Department.  Settlement Agreements are voluntary Agreements reached between the Parties involved including employee and employer/insurance carrier.  Pre-litigation Agreements are reviewed by the Agreements staff for accuracy/completeness and approved by the Chief Administrative Law Judge if they meet the statutory/regulatory requirements.  In Fiscal Year 2011-2012, a total of 6,948 Settlement Agreements were processed and recorded.

This section also processes and records Settlement Agreements approved by all other Administrative Law Judges.  

Motions to Substitute Party (widow's benefits) are also processed and approved in the Agreement Section. 
 
Forms Used:
 

Form 110-I                   Agreement as to Compensation and Order Approving Settlement -Injury
Form 110-F                  Agreement as to Compensation and Order Approving Settlement - Fatality
Form 110-OD              Agreement as to Compensation and Order Approving Settlement -  Occupational Disease
Form 110-CWP           Agreement as to Compensation and Order Approving Settlement -  Coal Workers’ Pneumoconiosis
Form 11                        Motion to Substitute Party and Continue Benefits

These forms can be found on the Forms page.  

For further information or questions, call Branch Manager, Connie Morris, Department of Workers' Claims, Frankfort, 502-782-4407.  ConnieF.Morris@ky.gov ; fax: 502-564-3792.


 
 
 
 
 
 
 
 
 
 
Department of Workers' Claims
657 Chamberlin Avenue
Frankfort KY  40601
Phone: (502) 564-5550