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 63 State Forms found

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WAGE CLAIM (Filing Instructions and Application Form)

 No Form Number No Form/Rev Date

LEGACY COMPENSATION REPORT

 Form 07-6104b (Rev. 12/2016)

Reinstate an Expired License - Alaska Business Transaction Form for California Producers

 08-270C (10/17)

Reinstate an Expired License - Alaska Business Transaction Form for California Adjusters

 08-307C (10/17)

CHANGE OF ADDRESS

 Form 07-6138 (Rev. 12/2018)

AFFIDAVIT VERIFYING SIME RECORDS ARE COMPLETE

 Form 07-6148 (06/2011)

ELECTION TO EITHER RECEIVE REEMPLOYMENT BENEFITS OR WAIVE REEMPLOYMENT BENEFITS AND RECEIVE A JOB DISLOCATION BENEFIT INSTEAD

 Form 07-6153 (Rev 04/2023)

Reinstate an Expired License - Business Transaction Form for Producers

 08-270 (10/17)

Reinstate an Expired License - Business Transaction Form for Adjusters

 08-307 (10/17)

THIRD-PARTY ADMINISTRATOR (TPA) RENEWAL FORM

 08-267 (Rev 01/22)

Third-Party Administrator Instructions and Registration

 08-232 (Rev. 07/14)

THIRD PARTY ADMINISTRATOR EXEMPTION FILING FORM

 08-243 (Rev. 03/03/15)

THIRD PARTY ADMINISTRATOR ERISA ANNUAL EXEMPTION FILING FORM

 08-244 (09/04/08)

THIRD-PARTY ADMINISTRATOR QUARTERLY FILING FORM

 08-309 (Rev. 12/15/22)

Employee's Lien for Workers' Compensation Benefits

 Form 07-6179 (Est. 03/2025)
Disclaimer: These forms may not be the most recent version. Alaska may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on this site. Please check official sources.
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