EMPLOYER’S NOTICE TO OPT OUT OF STAY-AT-WORK BENEFITS FOR INJURIES ON OR AFTER JANUARY 1, 2025 Forms
| Form Name | EMPLOYER’S NOTICE TO OPT OUT OF STAY-AT-WORK BENEFITS FOR INJURIES ON OR AFTER JANUARY 1, 2025 |
| Form # | Form 07-6187 |
| Form Revision | (Rev 01/2025) |
| Category | Forms » Medical/Health |
| Downloads | |
| Form State | Alaska |
| Language | English |
| State Description | n/a |
| Claimwire Description | n/a |