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Post Hire Questionnaire for Second Injury Fund Qualification - Alaska
Post Hire Questionnaire for Second Injury Fund Qualification is a legal document that was released by the Alaska Department of Administration - a government authority operating within Alaska.
FAQ
Q: What is the Second Injury Fund?A: The Second Injury Fund is a program in Alaska that provides benefits to individuals who have pre-existing disabilities and then suffer a subsequent work-related injury.
Q: What qualifications do I need to meet to qualify for the Second Injury Fund?A: To qualify for the Second Injury Fund, you must have a pre-existing disability or impairment that is permanent and was present before your work-related injury. You also need to show that your previous disability was substantially aggravated by your work-related injury.
Q: How do I apply for the Second Injury Fund?A: You can apply for the Second Injury Fund by completing a Post Hire Questionnaire and submitting it to the Alaska Workers’ Compensation Division.
Q: What information do I need to provide in the Post Hire Questionnaire?A: The Post Hire Questionnaire asks for details about your pre-existing disability, your work history, and your current injury. You will need to provide medical records and other supporting documentation.
Q: What benefits does the Second Injury Fund provide?A: The Second Injury Fund provides benefits such as medical treatment, temporary disability payments, permanent disability payments, vocational rehabilitation services, and death benefits to surviving dependents.
Q: Are there any deadlines for filing a claim with the Second Injury Fund?A: Yes, you must file your claim with the Second Injury Fund within two years from the date of your work-related injury, or within two years from when you first knew or should have known that your pre-existing disability was aggravated by your work-related injury.
Form Details:
- Released on May 1, 2005;
- The latest edition currently provided by the Alaska Department of Administration;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Alaska Department of Administration.
