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Alaska Employer Report of Occupational Injury or Illness to Division of Workers' Compensation

State:
Alaska
Control #:
AK-CR-1569
Format:
Word
Instant download
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Description

Employer Report of Occupational Injury or Illness to Division of Workers' Compensation

The Alaska Employer Report of Occupational Injury or Illness to Division of Workers’ Compensation is a document that employers must submit to the Alaska Division of Workers’ Compensation when an employee has suffered an injury or illness in the workplace. The report must include the date of the incident, the type of injury or illness, the location of the incident, and any medical treatment the employee has received. It must also include the name and contact information of the employee and the employer. There are two types of Alaska Employer Report of Occupational Injury or Illness to Division of Workers’ Compensation. The first is the First Report of Injury or Illness, which must be completed within five days of the incident. The second is the Employer’s Report of Injury or Illness, which must be completed within 30 days of the incident. Both reports should include detailed information about the incident and any medical treatment the employee received.

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Alaska Employer Report of Occupational Injury or Illness to Division of Workers' Compensation