18 81 WCC Form AR-O: Contact Designation Form for Claim Office/Medical Billing /Underwriter/Administrator [This form is filed by the Workers' Compensation Insurance Carrier or Self-Insured with the Arkansas Workers' Compensation Commission]
| Jurisdiction | Arkansas |
| Library | Arkansas Form Book - Complete (2024 Supplement) |
18-81 WCC Form AR-O: Contact Designation Form for Claim Office/Medical Billing /Underwriter/Administrator [This form is filed by the Workers' Compensation Insurance Carrier or Self-Insured with the Arkansas Workers' Compensation Commission]
This form designates the contact information for the Respondents so the Arkansas Workers' Compensation Commission can easily contact the appropriate personnel as needed.
https://www.labor.arkansas.gov/wp-co...
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