Alaska Forms


 6 State Forms found

name number revision print or send online

AFFIDAVIT OF COMPENSATION RATE LESS THAN $154 - EDI SUBMISSION ONLY

Form 07-6175 (Rev 02/2010)

COMPENSATION REPORT - EDI

07-6104b (REV 12/2015)

COMPROMISE & RELEASE AGREEMENT SUMMARY

Form 07-6117 (Rev 04/2010)

WAGE CLAIM (Filing Instructions and Application Form)

No Form Number No Form/Rev Date

LEGACY COMPENSATION REPORT

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

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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