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Form 07-6110 Notice of Possible Claim Against the Second Injury Fund - Alaska
What Is Form 07-6110?
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 07-6110?
A: Form 07-6110 is the Notice of Possible Claim Against the Second Injury Fund in Alaska.
Q: What is the Second Injury Fund?
A: The Second Injury Fund is a program in Alaska that provides benefits to workers who have a pre-existing disability that is aggravated by a work-related injury.
Q: When should I file Form 07-6110?
A: You should file Form 07-6110 within 30 days of the date you first became aware that your pre-existing disability may be aggravated by a work-related injury.
Q: What information do I need to provide on Form 07-6110?
A: You need to provide information about yourself, your employer, the nature of your pre-existing disability, and the details of your work-related injury.
Form Details:
- Released on September 1, 2012;
- The latest edition provided by the Alaska Department of Labor and Workforce Development;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form 07-6110 by clicking the link below or browse more documents and templates provided by the Alaska Department of Labor and Workforce Development.
