18 76 WCC Form AR-D: Death and Permanent Total Disability Acceptance/Update [Filed with the Arkansas Workers' Compensation Commission by Respondents]
| Jurisdiction | Arkansas |
| Library | Arkansas Form Book - Complete (2024 Supplement) |
18-76 WCC Form AR-D: Death and Permanent Total Disability Acceptance/Update [Filed with the Arkansas Workers' Compensation Commission by Respondents]
This form is filed by Respondents with the Arkansas Workers' Compensation Commission for death claims and those claims in which it has been determined that the injured employee is permanently and totally disabled.
https://www.labor.arkansas.gov/wp-content/uploads/formd.pdf
WCC Form AR-D instructions and requirements: https://www.labor.arkansas.gov/wor...
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