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State of Alaska > DOLWD > Workers' Compensation  > Self Insurance

Self Insurance
        Velma Thomas, Program Coordinator

Self-Insured Employers - Introduction

Qualifying as a Self-Insured Employer in Alaska

Application for Certificate of Self-Insurance (Form 6129)

Parent Company Guarantee (in PDF)

Renewing Status as a Self-Insured Employer in Alaska

Renewal of Certificate of Self-Insurance (Form 6130)

Self-Insured Employers in Alaska



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Contact Information:
(907) 465-2790
(907) 465-2797

P.O. Box 115512
Juneau, AK 99811-5512

Toll Free:
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Page Updated June 19, 2018