Workers Compensation Claim Forms

All incident and injury forms should be submitted within 24-hours of an incident or within 8-hours if the employee is hospitalized. Forms can be emailed to This email address is being protected from spambots. You need JavaScript enabled to view it. or faxed to (907) 714-2384.

If you have questions or need assistance with the forms, please call the Claims Manager at (907) 714-2351 or the Safety Manager at (907) 714-2354.