Claims Forms

Please use the forms below to provide notice of a claim to the AMLJIA.
 

WORKERS COMPENSATION INJURY NOTICE (Report of Occupational Injury or Illness 07-6101)

Mail the original to the Alaska Workers' Compensation Board, provide a copy to the injured employee, to the AMLJIA, and keep one for your records.

AUTO ACCIDENT NOTICE

GENERAL LIABILITY NOTICE

PROPERTY LOSS NOTICE

STUDENT ACCIDENT CLAIM FORM
 

Have questions? Please contact us any time and we will be happy to assist you!


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