This grant is for the KLCIS Workers’ Compensation insurance members. Safety Grant Program Application period: March 1, 2019–April 19, 2019, noon, EDT.
Print the Application.
Print the PPE Hazard Assessment Form.
The applying city or agency must be a current member of the Kentucky League of Cities Insurance Services(KLCIS) program with Workers’ Compensation (WC) insurance coverage. Only one application will be accepted from each insured member.
Invoices or purchase orders must be attached to the grant and returned at the same time.
We will accept purchase orders and invoices dated July 1, 2018-April 19, 2019.
Due to the popularity of this grant, we advise members to apply early.
If safety grant applications exceed funds available, grants will be processed on a first-come, first-served basis.
We recommend emailing the application. Mailed applications will be processed on the date they are received.
The Safety Grant is a 50/50 matching grant. Members with Workers’ Compensation coverage with total premiums before taxes less than $35,000 are eligible for up to $1,500 grant reimbursements for approved purchases. Members with Workers’ Compensation coverage with total premiums before taxes $35,000 and above are eligible for up to $3,000 grant reimbursements for approved purchases. Members who are applying for personal protective equipment (PPE), must complete the PPE Hazard Assessment Form, attach a copy to the grant and return at the same time.
For the eligible item list, see the application. Please note we are targeting the losses that occur most within our program. These categories will change from year to year. Only items listed will be accepted for this grant period. No exceptions! All grants depend on the availability of funds.