Alaska Work Request Cover Sheet
Description
How to fill out Work Request Cover Sheet?
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FAQ
Create a myAlaska account or login. Select the Services tab. Under Services for Businesses, select Employment Security Tax. Under Employer Maintenance, select New Registration.
EMPLOYER: File the complete First Report of Injury (FROI), form 07-6101, with the Alaska Division of Workers' Compensation by electronic data interchange (EDI), or by mail, within 10 days of receiving this report, per AS 23.30. 070(a).
Employers can be assessed penalties up to $1,000 per employee for each day they remain uninsured, and a mandatory $1,000 per day for violating stop work orders. Please see the Employer's Guide to the Alaska Workers' Compensation Act for additional information.
Typically, workers' compensation disability benefits pay workers 80 percent of their spendable weekly wage. Spendable weekly wage is equal to your take-home pay, or your gross pay minus all payroll tax deductions. Payment is made every two weeks, similar to many wage schedules.
Alaska Rates for Select Work Comp Class Codes Class Code & DescriptionLow RateHigh Rate8393 Auto Body Repair$1.69$2.468742 Sales Professional$0.33$0.488824 Retirement Living Centers-Congregate Communities$2.27$3.318829 Nursing Homes and Assisted Living Facilities$1.84$2.6860 more rows
Payout amounts of permanent impairment ratings Permanent Impairment RatingPayout Amount0% ? 10%$011% ? 15%$24,810 ? $37,77016% ? 20%$41,010 ? $53,97021% ? 25%$57,210 ? $70,1708 more rows
(See "A", below) Your weekly compensation rate will be 80% of your spendable weekly wage (gross weekly earnings minus payroll tax deductions), but is subject to certain limits. The Division prepares rate tables that insurers use to figure your weekly disability benefit rate.
