18 86 WCC Form AR-W: Wage Statement Immediately Preceding Injury Date [Filed by Respondents]
| Jurisdiction | Arkansas |
| Library | Arkansas Form Book - Complete (2024 Supplement) |
18-86 WCC Form AR-W: Wage Statement Immediately Preceding Injury Date [Filed by Respondents]
If Respondents are claiming the injured employee is entitled to less than the maximum compensation rate, then Respondents are required to file the Form AR-W or provide printouts of the injured employee's compensation for the 52 weeks immediately preceding the injury.
https://www.labor.arkansas.gov/wp-content/uploads/formw.pdf
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