18 80 WCC Form AR-N: Employee's First Notice of Injury [Completed by the Claimant and given to his or her employer upon initial reporting of the injury]

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

18-80 WCC Form AR-N: Employee's First Notice of Injury [Completed by the Claimant and given to his or her employer upon initial reporting of the injury]

This form is usually provided to the injured employee by the employer to complete upon reporting of the injury. Respondents should provide copies of the front and back of the form to the employee to keep because it contains the instructions on receiving medical care and the employee's right to change physician. This form includes an authorization for...