Request the Risk Management Report Form -- KSBN.org


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Landon State Office Building
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Topeka, Kansas 66612-1230
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Home > Legal > Request the Risk Management Report Form

Request the Risk Management Report Form

Welcome to the Request for the Risk Management Report Form. To request the Risk Management Report Form please complete the information below. Or, you may contact the KSBN Legal Division at 785-296-4325.

You may also find answers to Legal Frequently Asked Questions

or review the Kansas Nursing Practice Act.

Please complete the following information:

Name:
Agency Name:
Address:
City:
State:
Zip:
County:
Phone:
Email:

My question or comment pertains to:

Please Mail the Risk Management Report Form

Please type your information click on submit.

If you experience problems with this page or have further questions, please notify - info@ksbn.state.ks.us