Alaska Department of Labor and Workforce Development Forms

This Form is used for reporting certified payroll information in Alaska. It helps ensure compliance with prevailing wage laws and ensures that workers are being paid correctly.

This document is used for releasing counseling, psychological, psychiatric, or alcohol/drug/substance abuse treatment records or information in Alaska.

This form is used for filing an affidavit of readiness for a hearing in the state of Alaska.

This form is used for reporting death benefits in Alaska.

This form is used for petitioning to join the Second Injury Fund and claiming reimbursement in Alaska.

This type of document is used for crewmen and vessel owners in Alaska to agree upon the payment and arrangements for medical and transportation expenses.

This form is used for requesting cross-examination in Alaska.

This Form is used for filing an affidavit to claim compensation rate less than $154 in the state of Alaska.

This document is a Compromise and Release Agreement Summary for the state of Alaska. It outlines the details of an agreement made between parties to resolve a dispute.

This form is used for issuing a legal order known as a subpoena in the state of Alaska. A subpoena is a document that requires a person to appear in court or provide certain documents or testimony as evidence in a legal case.

This Form is used for requesting a conference in Alaska.

This form is used for conducting an eligibility evaluation checklist in Alaska. It helps determine if an individual is eligible for certain programs or benefits in the state.

This form is used for fishermen in Alaska to report any injury or illness that occurred while working and to file a claim through the Fishermen's Fund.

This Form is used for offering alternative employment in the state of Alaska. It is used when an employer wants to offer a different job position to an employee.

This form is used for fishermen in Alaska to submit a physician's report to apply for assistance from the Fishermen's Fund.

This form is used for submitting a Notice of Possible Claim against the Second Injury Fund in Alaska. It provides a way for individuals to inform the state about potential claims related to workplace injuries.

This form is used for waiving reemployment benefits in Alaska.

This Form is used for verifying that certain records are complete in Alaska.

This Form is used for Commercial Fishermen's Fund Compelling Reasons Questionnaire in Alaska.

This form is used for requesting the release of information from the Alaska Commercial Fishermen's Fund.

This Form is used for filing a Notice of Appearance in an Alaskan court case. It notifies the court and parties involved that a person or attorney will be representing a party in a legal matter.

This form is used for submitting a notice of intent to rely on certain evidence or testimony in the state of Alaska.

This Form is used for individuals applying to provide reemployment services as a rehabilitation specialist under AS 23.30.041 in Alaska.

This document is for employers in Alaska to report 45 consecutive days of time loss for injuries suffered by their employees.

This Form is used for employers in Alaska to provide notice of 90 consecutive days of time loss for injuries suffered by an employee. It is important for employers to fill out this form accurately and submit it to the appropriate authorities.

This form is used for the Reemployment Benefits Plan Checklist in Alaska. It is a document that helps individuals determine their eligibility for reemployment benefits.

This Form is used for stipulating eligibility for injuries in the state of Alaska.

This Form is used for the Second Independent Medical Evaluation (SIME) in Alaska. It is a document that is used to gather additional medical information for a case or claim.

This document is used to file a claim for unpaid wages in the state of Alaska.

This document is used for requesting information about the state of Alaska.

This form is used for employers in Alaska to notify the insurance company about their insurance coverage. It provides important information about the employer's insurance policy.

This Form is used for making a public records request in the state of Alaska.

This form is used for requesting a waiver for the executive officer requirement in Alaska. It allows individuals to petition for an exemption from the regulation that requires each business entity to have an executive officer.

This form is used for reporting quarterly contributions to the Alaska Department of Labor and Workforce Development.