EDI Forms & Crosswalks Posted
Alaska Department of Labor & Workforce Development sent this bulletin at 07/17/2013 03:20 PM AKDTWe have updated the Alaska Workers' Compensation Forms Webpage (http://labor.state.ak.us/wc/pdf_list.htm) with the following forms that are effective Monday, July 22, 2013:
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Compensation Report, Effective 07/22/2013 (Form 07-6104b)
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Controversion (Denial) Notice, Effective 07/22/2013 (Form 07-6105)
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EDI, Instructions for Use of Claims R3 Forms (Form 07-61XX)
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EDI Crosswalk, Compensation Report (Form 07-6104b)
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EDI, Controversion (Denial) Notice (Form 07-6105)
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EDI Crosswalk, Employee Report of Occupational Injury or Illness to Employer (Form 07-6100)
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EDI Crosswalk, Employer Report of Occupational Injury or Illness to Division of Workers’ Compensation (Form 07-6101)
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Employee Report of Occupational Injury or Illness to Employer, Effective 07/22/2013 (Form 07-6100)
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Employer Report of Occupational Injury or Illness to Division of Workers’ Compensation, Effective 07/22/2013 (Form 07-6101)
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