Occupational Injury Report Form - State of Alaska, Section of Chronic Disease Prevention and Health Promotion |
1. Reporter details
Per 7 AAC 27.017, health care providers are required to report patients with a disease, injury, or other condition of public health importance that is known or suspected to be a result of the person’s occupation or work activities to the Division of Public Health. Reports must be made within 5 working days of the date of diagnosis. Forms and definitions may be found at: https://health.alaska.gov/en/services/report-condition/