State of Alaska > DOLWD > Workers' Compensation > Self Insurance
Self Insurance
Self-Insured Employers - Introduction
Qualifying as a Self-Insured Employer in Alaska
Application for Certificate of Self-Insurance (Form 6129)
Parent Company Guarantee (in PDF)
Renewing Status as a Self-Insured Employer in Alaska
Renewal of Certificate of Self-Insurance (Form 6130)
Self-Insured Employers in Alaska
Contact Information:
Address: P.O. Box 115512 Juneau, AK 99811-5512