Form FI-41 Vessel Owner (Employer) - Crewman Agreement Regarding Medical and Related Transportation or Other Expenses - Alaska

Form FI-41 Vessel Owner (Employer) - Crewman Agreement Regarding Medical and Related Transportation or Other Expenses - Alaska

What Is Form FI-41?

This is a legal form that was released by the Alaska Department of Labor and Workforce Development - a government authority operating within Alaska. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form FI-41?A: Form FI-41 is a document called the Vessel Owner (Employer) - Crewman Agreement Regarding Medical and Related Transportation or Other Expenses - Alaska.

Q: What is the purpose of Form FI-41?A: The purpose of Form FI-41 is to establish an agreement between the vessel owner/employer and the crewman regarding medical and related transportation expenses in Alaska.

Q: Who needs to fill out Form FI-41?A: Both the vessel owner/employer and the crewman need to fill out and sign Form FI-41.

Q: What information is required on Form FI-41?A: Form FI-41 requires information about the vessel owner/employer, crewman, and the agreement regarding medical and transportation expenses.

Q: Is Form FI-41 specific to Alaska?A: Yes, Form FI-41 is specific to Alaska and is used for agreements regarding medical and transportation expenses in the state.

Q: What happens after Form FI-41 is filled out?A: After Form FI-41 is filled out and signed by both parties, it becomes a legally binding agreement between the vessel owner/employer and the crewman.

Q: Are there any fees associated with Form FI-41?A: There are no fees associated with Form FI-41.

Q: Can Form FI-41 be used for non-medical expenses?A: No, Form FI-41 is specifically for medical and related transportation expenses.

Q: Can Form FI-41 be modified?A: No, Form FI-41 should not be modified or altered in any way.

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Form Details:

  • Released on December 5, 2000;
  • The latest edition provided by the Alaska Department of Labor and Workforce Development;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form FI-41 by clicking the link below or browse more documents and templates provided by the Alaska Department of Labor and Workforce Development.

Download Form FI-41 Vessel Owner (Employer) - Crewman Agreement Regarding Medical and Related Transportation or Other Expenses - Alaska

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