Contact Information
Department of Health & Social Services
323 East 4th Avenue Anchorage, AK 99051
Phone: (907) 269-4026
Fax: (907) 269-4098
Contact: Ken Saucier or
Anna Peratrovich at (907) 269-0329
E-mail: Kenneth.Saucier@Alaska.gov
Alaska
Additional Information
Form
Please contact the agency listed above for the appropriate forms.
Submission Process
Signed form may be scanned, faxed or mailed.
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