Form 07-6109 Petition to Join Second Injury Fund and Claim for Reimbursement - Alaska

What Is Form 07-6109?

This is a legal form that was released by the Alaska Department of Labor and Workforce Development - a government authority operating within Alaska. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 07-6109?
A: Form 07-6109 is a petition to join the Second Injury Fund and claim for reimbursement in Alaska.

Q: What is the Second Injury Fund?
A: The Second Injury Fund is a state program that provides compensation to workers who have a pre-existing disability and suffer a subsequent work-related injury.

Q: Who can file a petition to join the Second Injury Fund?
A: Any injured worker in Alaska who has a pre-existing disability and has suffered a subsequent work-related injury can file a petition to join the Second Injury Fund.

Q: What is the purpose of filing a petition to join the Second Injury Fund?
A: The purpose of filing a petition to join the Second Injury Fund is to seek additional compensation for the work-related injury that aggravates or combines with the pre-existing disability.

Q: How do I file a petition to join the Second Injury Fund?
A: To file a petition to join the Second Injury Fund, you need to complete Form 07-6109 and submit it to the Alaska Workers' Compensation Division.

Q: What information do I need to provide on Form 07-6109?
A: On Form 07-6109, you will need to provide information about your pre-existing disability, the work-related injury, and any medical treatment you have received.

Q: Is there a deadline for filing a petition to join the Second Injury Fund?
A: Yes, there is a deadline for filing a petition to join the Second Injury Fund. It is generally within one year from the date of the work-related injury.

Q: Can I get legal assistance to file a petition to join the Second Injury Fund?
A: Yes, you have the right to seek legal assistance to file a petition to join the Second Injury Fund. It may be helpful to consult with an attorney who specializes in workers' compensation law.

Q: What happens after I file a petition to join the Second Injury Fund?
A: After you file a petition to join the Second Injury Fund, your case will be reviewed by the Alaska Workers' Compensation Division. They will determine if you meet the eligibility criteria and whether you are entitled to reimbursement from the fund.

Q: Can I appeal if my petition to join the Second Injury Fund is denied?
A: Yes, if your petition to join the Second Injury Fund is denied, you have the right to appeal the decision. You should follow the appeals process outlined by the Alaska Workers' Compensation Division.