Post Hire Questionnaire for Second Injury Fund Qualification is a legal document that was released by the Alaska Department of Administration - a government authority operating within Alaska.
Q: What is the Second Injury Fund?
A: The Second Injury Fund is a program in Alaska that provides benefits to individuals who have pre-existing disabilities and then suffer a subsequent work-related injury.
Q: What qualifications do I need to meet to qualify for the Second Injury Fund?
A: To qualify for the Second Injury Fund, you must have a pre-existing disability or impairment that is permanent and was present before your work-related injury. You also need to show that your previous disability was substantially aggravated by your work-related injury.
Q: How do I apply for the Second Injury Fund?
A: You can apply for the Second Injury Fund by completing a Post Hire Questionnaire and submitting it to the Alaska Workers’ Compensation Division.
Q: What information do I need to provide in the Post Hire Questionnaire?
A: The Post Hire Questionnaire asks for details about your pre-existing disability, your work history, and your current injury. You will need to provide medical records and other supporting documentation.
Q: What benefits does the Second Injury Fund provide?
A: The Second Injury Fund provides benefits such as medical treatment, temporary disability payments, permanent disability payments, vocational rehabilitation services, and death benefits to surviving dependents.
Q: Are there any deadlines for filing a claim with the Second Injury Fund?
A: Yes, you must file your claim with the Second Injury Fund within two years from the date of your work-related injury, or within two years from when you first knew or should have known that your pre-existing disability was aggravated by your work-related injury.
Form Details:
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Alaska Department of Administration.