Alaska Notice of Work-Related Injury and Claim for Worker's Compensation

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Some state worker's compensation acts also provide that a formal claim for compensation be made, either to the employer, the compensation board, or to the state commission board with notice to the employer that the claim is being made. This claim or notice of claim is different from the notice of injury and is governed by a different, and sometimes longer, statute of limitations. This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.

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FAQ

(a) The employer shall furnish medical, surgical, and other attendance or treatment, nurse and hospital service, medicine, crutches, and apparatus for the period which the nature of the injury or the process of recovery requires, not exceeding two years from and after the date of injury to the employee.

Is workers' compensation taxable in Alaska? No. In Alaska, workers' compensation claim benefits are not considered taxable income in most cases.

The highest workers' comp rates by state jurisdiction are: Wyoming: $1.78. Alaska: $1.74. Hawaii: $1.69. Montana: $1.64. South Carolina: $1.55. Idaho: $1.47.

Employers can be assessed penalties up to $1,000 per employee for each day they remain uninsured, and a mandatory $1,000 per day for violating stop work orders.

ALASKA WORKERS' COMPENSATION ACT (ACT). Employers who employ one or more workers must have workers' compensation insurance. An employer must buy the insurance from a licensed insurance company or be self-insured. Your employer cannot require you to pay any part of the insurance premium.

The Alaska Workers' Compensation Act requires each employer having one or more employees in Alaska to obtain workers' compensation insurance, unless the employer has been approved as a self-insurer by the Alaska Workers' Compensation Board.

WCC ? Workers Compensation Claim Fill out the Report of Injury Form 07-6100 as soon as possible but no later than 30 days after your injury occurred or illness began. Keep a copy of the completed form for your records, and immediately give this form to your employer. You may send a copy to AWCB.

Typically, workers' compensation disability benefits pay workers 80 percent of their spendable weekly wage. Spendable weekly wage is equal to your take-home pay, or your gross pay minus all payroll tax deductions. Payment is made every two weeks, similar to many wage schedules.

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Alaska Notice of Work-Related Injury and Claim for Worker's Compensation