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State of Alaska > DOLWD > Workers' Compensation  > Self Insurance

Self Insurance
        Velma Thomas, Program Coordinator

Self-Insured Employers - Introduction

Qualifying as a Self-Insured Employer in Alaska

Application for Certificate of Self-Insurance (Form 6129)

Parent Company Guarantee (in PDF)

Renewing Status as a Self-Insured Employer in Alaska

Renewal of Certificate of Self-Insurance (Form 6130)

Self-Insured Employers in Alaska

 

 

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Contact Information:
TEL:
(907) 465-2790
FAX:
(907) 465-2797
   

Address:
PO Box 115512
Juneau, AK 99811-5512

 
Toll Free:
1-877-783-4980

 

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Page Updated April 28, 2011