Post Hire Questionnaire for Second Injury Fund Qualification - Alaska

Post Hire Questionnaire for Second Injury Fund Qualification - Alaska

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.

FAQ

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.

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Form Details:

  • Released on May 1, 2005;
  • The latest edition currently provided by the Alaska Department of Administration;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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.

Download Post Hire Questionnaire for Second Injury Fund Qualification - Alaska

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