Alaska
Workers Comp
Last updated: 5/16/2024
Medical Summary {07-6103}
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Description
Form 07-6103 - WORKERS' COMPENSATION MEDICAL SUMMARY. This form must accompany Workers' Compensation Claims and Petitions (See 8AAC 45.052). It is is used to provide a concise overview of medical records related to a worker's compensation claim. It includes details such as the employee's information, chronological listing of medical records, types of medical reports, and proof of service section for mailing copies to designated recipients. This form ensures all relevant medical information is documented and submitted to the Alaska Workers' Compensation Board for review in support of the claim. www.FormsWorkflow.com
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