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New Alaska Workers’ Compensation First Report of Injury Forms Will be Required Starting 7/22/2013

As of July 11, 2013, the State of Alaska published new Employer and Employee Report of Occupational Injury or Illness forms for workers’ compensation claims. The State confirmed on July 15, that these new forms must be used starting July 22, 2013 and replace the existing Report of Occupational Injury or Illness (Form 07-6101 Rev 08-2012).

The new forms are:

  1. 07-6100 – Employees Report of Occupational Injury or Illness to the Employer
  2. 07-6101 – Employer Report of Occupational Injury or Illness to Division of Workers’ Compensation

The employee and the employer will now be required to fill out separate forms to report an occupational injury or illness. On the old form, the employee and employer sections were both on the same page. The new forms are the result of a years-long project to convert Alaska workers’ compensation injury/illness reporting to an electronic system. Many States have an electronic system to gain efficiencies in data reporting and to reduce transcription errors.

While most employers rely on their insurance carrier or third party claims administrator to report employee injuries to the State of Alaska, all reporting must now be on the new forms.

The State of Alaska posts the new forms here:

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