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Alaska Form Center


Welcome to the most extensive library of workers' compensation forms available anywhere. Almost 3,000 forms are available for your immediate download and use. Our forms, all of which have been custom programmed by WorkersCompensation.com for Type & Save functionality, are available for individual purchase below.

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(6101) Report Of Occupational Injury Or Illness - 8/06
(6102) Physician’s Report - 8/95
(6103) Medical Summary - 11/04
(6104b) Compensation Report - 9/00
(6105) Controversion Notice - 8/97
(6106) Claim for Benefits - 5/06
(6107) Affidavit Of Readiness For Hearing - 5/06
(6109) Petition To join SIF And Claim For Reimbursement - 1/99
(6110) Notice of Possible Claim Against the Second Injury Fund - 9/01
(6111) Petition - 10/95
(6112) Subpoena - 3/94
(6117) Compromise & Release Agreement Summary - 1/94
(6118) Death Benefits Report - 1/94
(6120) Employers’ Notice Of Insurance - 1/07
(6121) Request for Release of Information - 1/09
(6122) Public Records Request - 9/09
(6125) Fisherman's and Physician's Reports - 8/07
(6126) Fishermen’s Fund Physician's Report - 8/07
(6129) Application for Certificate of Self-Insurance - 1/99
(6130) Renewing Status as a Self-Insured Employer in Alaska - 1/99
(6131) Instructions & Form for Executive Officer Waiver - 8/07
(6135) Request for Conference - 11/97
(wc6150) Eligibility Evaluation Checklist - 3/09
(wc6151) Offer of Alternative Employment - 3/09
(6174) Request For Cross-examination - 1/94
(6175) Affidavit Of Compensation Rate Less Than $154
(awcb) Waiver of Reemployment Benefits - 9/00
(medrls001) Release of Medical Information - 6/03
(medrls002) Release of Counseling, Psychological, Psychiatric, or Alcohol/Drug/Substance Abuse Treatment Records or Information - 6/03
(sime) Second Independent Medical Evaluation - 12/04
(parent) Parent Company Guarantee - 1/99
(carpal) Carpal Tunnel Syndrome Questionare - N/D
(crq519) Compelling Reasons Questionnaire - N/D
(vessel) Vessel Owner (Employer) - Crewman Agreement Regarding Medical and Related Transportation or Other Expenses - N/D
(p-and-i) Report Of Vessel/Site Insurance- N/D