• Welcome to the HWEP Employer Site Request Submission!

    Thank you for your commitment to improving healthcare access in Alaska’s underserved and rural areas. By completing this request, you’re helping ensure that your site can host skilled professionals who are ready to serve where they’re needed most.

    Important: Before Submitting Your Request
    Before a site request can be submitted, an Employer Affiliation must first be created. Once the Employer Affiliation is established, this form can be used to add employer sites to the program. Please ensure this step is completed to avoid delays in processing your request.

    Take a moment to review the Employer Reference Guide, located at the link below,  before proceeding. The guide includes essential details about site eligibility and program requirements. Providing accurate and complete information in your submission will help us process it more efficiently.

    If you have questions during this process, visit HWEP Info or contact program support at oha.wi.info@alaska.gov. 

  • Employer Site Request

    Employer Site Request

    Healthcare Workforce Enhancement Program (HWEP)
  • Site Information

  • Healthcare Services

  • Payer Type Summary

    Provide the following data for the previous calendar year for the SITE:
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  • Signature

  • By submitting below, I confirm that all information provided is accurate and that the site is committed to fulfilling the obligations required by the HWEP.

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