18 78 WCC Form AR-L: Claimant's Lump Sum Request/Respondent's Position [This form is completed by both the Claimant and the Respondent]

• Jurisdiction: Arkansas
• Library: Arkansas Form Book - Complete (2024 Supplement)

18-78 WCC Form AR-L: Claimant's Lump Sum Request/Respondent's Position [This form is completed by both the Claimant and the Respondent]

This is the form to use if a Claimant is seeking to receive his or her benefits in lump sum with discount without a final settlement of his or her claim. Both parties fill out their respective portions of the form and it is submitted to the Workers' Compensation Claim for review and approval or denial.

https://www.labor.ark...