Legal Forms >> Alaska >> Workers' Compensation
Form #:AK-WC6175 Alaska worker's compensation affidavit by an adjuster, stating that an injured emplpoyee's rate of pay was less than $154. The form is attached to the compensation report (form WC6104B).
Name:Alaska Affidavit of Compensation Rate Less Than 154 Dollars Form Number: AK-WC6175 State:Alaska Statute: Form Category:Workers' Compensation
This form is only available as a downloadable PDF which will be made available to you after you complete your purchase.
Search MillerDavis.com for legal forms and specialty products.
All of our forms include standard shipping at no additional cost.