Alaska Injury Absence Report

State:
Multi-State
Control #:
US-AHI-276
Format:
Word; 
Rich Text
Instant download
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Public form

Description

This AHI form is used to document an absence due to work-related injury. The form also includes the number of hours lost due to the injury. This form must be submitted prior to the close each pay period.

How to fill out Injury Absence Report?

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FAQ

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.

Time Limits You must report your injury in writing to your employer within 30 days of your injury. If your workers' compensation insurer denies you benefits, you have two years to file a claim against the insurer.

To receive workers' comp benefits, you should report your injury to your employer as soon as possible. You must submit an injury report (Form 07-6100) to your employer within 30 days of your injury. If you fail to do so, your claim for benefits may be denied.

ALASKA WORKERS' COMPENSATION ACT (ACT). Employers who employ one or more workers must have workers' compensation insurance. An employer must buy the insurance from a licensed insurance company or be self-insured. Your employer cannot require you to pay any part of the insurance premium.

Alaska does not have a state fund for workers' compensation insurance. Employers should contact their insurance agent or broker for assistance in acquiring a workers' compensation policy for their business.

Workman's compensation insurance provides coverage for the costs of necessary treatments if your employee gets sick due to a work-related condition or incident. In some cases work-related injuries may be severe enough to cause temporary or permanent disability.

When & How to Document Workplace InjuryGet to the site as quickly as possible.Ensure the area is safe to enter.Make sure the injured/ill person is receiving first-aid or medical attention.Identify any witnesses.Record the scene with photos (ideally with date and time stamp) or sketches.Safeguard any evidence.More items...

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Alaska Injury Absence Report