Alaska Workers Comp Forms
Find Alaska workers compensation forms and coverage guides.
Here is a list of all the forms, applications, and manuals related to Workers' Compensation Insurance in the state of Alaska. We strive to keep this up to date and accurate.
As with all information we provide please verify the accuracy of this information with the Alaska Division of Workers' Compensation.
If you have any questions about where to find or how to fill out one of these or any other form, please feel free to call one of our Workers' Compensation Expert's at 888-611-7467.
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Alaska Workers Compensation Insurance Forms
The standard Acord 130 application form for workers comp coverage in Alaska.
AK First Report of Injury Form. Employers should complete this form and send to their insurance company each time an injury occurs.
Owners and Officers of corporations should complete this form to exclude themselves from a work comp policy.
Complete this form if you are a sole-proprietor, partnership with no employees or an sole officer of a corporation and would like to be exempt from coverage.
This form is to notify employees of insurance coverage and carrier.
Complete this form to file an official workers' compensation claim with the Alaska Department of Labor and Workforce Development.
Use this form to apply for a claim against the Second Injury Fund for injuries that have caused further damage to a pre-existing condition.
Information about workers compensation in Alaska for workers and employers.
State Resources for Alaska
State Resources for Alaska
Alaska Division of Workers' Compensation
Post Office Box 25512
Juneau, Alaska 99802-5512
National Council on Compensation Insurance (NCCI)
901 Peninsula Corporate Circle
Boca Raton, FL 33487-1362
Workers compensation insurance is required by law for Alaska employers.
Alaska forms and applications such as owners inclusion or exclusion forms are sometimes updated by the state. Contact us if you need help or can't find the workers compensation form your need for Alaska.
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