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Affidavit of Compensation Rate Less Than $154 (Form 07-6175)
Affidavit of Readiness for Hearing (Form 07-6107)
Claim for Benefits (Form 07-6106)
Compensation Report (Form 07-6104b)
Compromise and Release Agreement Summary (Form 07-6117)
Controversion Notice (Form 07-6105) (Also available in Microsoft Word)
Death Benefits Report (Form 07-6118)
Employers' Notice of Insurance (Form 07-6120)
Executive Officer Waiver, Instructions & Form for Executive Officer Waiver (Form 07-6131)
Firefighter’s Lung & Heart Physical Examination and Cancer Screening (Form 07-6177)
Firefighter’s Medical History & Evaluation (Form 07-6176)
Fishermen’s Fund, Carpal Tunnel Syndrome Questionnaire (Form 07-6123)
Fishermen’s Fund, Claim Form (Form 07-6125)
Fishermen’s Fund, Compelling Reasons Questionnaire (Form 07-6124)
Fishermen’s Fund, Medical and Related Transportation or Other Expenses
Fishermen’s Fund, Physician's Report (Form 07-6126)
Fishermen’s Fund, Report of Vessel/Site Insurance (Form 07-6119)
(Also available in Microsoft Word)
Fisherman's Fund, Request for Release of Information (Form 07-6133)
Fishermen’s Fund, Vessel Owner (Employer) – Crewman Agreement
Medical Summary (Form 07-6103)
Notice of Appearance (Form 07-6116)
Notice of Intent to Rely (Form 07-6114)
Petition (Form 07-6111)
Physician's Report (Form 07-6102)
Public Records Request (Form 07-6122)
Reemployment, Application to Provide Reemployment Services as a Rehabilitation Specialist Under AS 23.30.041 (Form 07-6166)
Reemployment, Eligibility Evaluation Checklist (Form 07-6150)
(Also available in Microsoft Word)
Reemployment, Employer Notice of 45 Consecutive Days of Time Loss for Injuries
(Form 07-6170)
Reemployment, Employer Notice of 90 Consecutive Days of Time Loss for Injuries
(Form 07-6169)
Reemployment, Guide for Preparing Reemployment Benefits Eligibility Evaluations
(Form 07-6161)
Reemployment, Offer of Alternative Employment (Form 07-6151)
(Also available in Microsoft Word)
Reemployment, Reemployment Benefits Plan Checklist (Form 07-6171)
Reemployment, Stipulation to Eligibility for Injuries (Form 07-6152)
Reemployment, Waiver of Reemployment Benefits
(Form 07-6168)
(Also available in Microsoft Word)
Release of Counseling, Psychological, Psychiatric, or Alcohol/Drug/Substance
Abuse Treatment Records or Information
Release of Medical Information (Form 07-6146) (Rev. 05/13/2011)
Report of Occupational Injury and Illness (Form 07-6101)
Request for Conference (Form 07-6135)
(Also available in Microsoft Word)
Request for Cross-examination (Form 07-6174)
Request for Release of Information (Form 07-6121)
Second Independent Medical Evaluation (SIME) (Form 07-6147)
Second Injury Fund, Notice of Possible Claim Against The Second Injury Fund
(Form 07-6110)
Second Injury Fund, Petition to Join Second Injury Fund and Claim for Reimbursement
(Form 07-6109)
Self-Insurance, Application for Certificate of Self-Insurance (Form 07-6129)
Self-Insurance, Parent Company Guarantee
Self-Insurance, Renewal of Certificate of Self-Insurance (Form 07-6130)
Subpoena (Form 07-6112)
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