Get Form 07-6100 - Alaska Department Of Labor

Completing the Form 07-6100 from the Alaska Department of Labor is a crucial step in offering alternative employment to employees under specific regulations. This guide will provide step-by-step instructions to ensure accurate and effective submission of this form online.

Follow the steps to complete the Form 07-6100 electronically.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the employee’s information. Enter their name in the format: Last, First, Middle Initial. Provide the date of injury, the employee's address, and their social security number, ensuring accuracy.
3. Next, complete the contact information for the employee, including their telephone number, date of birth, and detailed address.
4. Fill in the employer's details. Enter the name of the employer or direct subsidiary and provide contact information for the employer, including phone number and address.
5. In the section entitled 'To be completed by the employer,' provide the offered job title. Specify the date the job is scheduled to begin and the gross hourly wage for the job.
6. Indicate the job location. State whether this offer is made in good faith, confirming that the job helps maintain employability in the labor market.
7. Complete the information regarding the employer/subsidiary representative, including their name, title, signature, and the date signed.
8. The rehabilitation specialist should input the relevant details, confirming the job's compliance with the employee’s physical capacities and wage requirements.
9. Note the employee's original gross hourly wage at the time of injury and ensure the new job fulfills the minimum wage criteria.
10. Finalize by indicating the acceptance status from the employee regarding the job offer. The rehabilitation specialist must also provide their name, address, and signature along with the date mailed.
11. Once all sections are completed, review the form for any errors or omissions before saving your changes, downloading, printing, or sharing it as needed.

Start filling out the Form 07-6100 online today to ensure a smooth offering of alternative employment.