Legal Forms >> Alaska >> Workers' Compensation
Form #:AK-WC6170 Alaska workers' compensation form for notice to an employer that an injured employee has lost 45 consecutive days of work and was totally unable to return to his or her employment due to an injury. This form is for injuries occurring on or after November 7, 2005.
Name:Alaska Employers Notice, 45 Consecutive Days Lost for Injuries (Post 11-7-05) Form Number: AK-WC6170 State:Alaska Statute: Form Category:Workers' Compensation
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