Chapter 18 WORKERS' COMPENSATION
| Jurisdiction | Arkansas |
| Library | Arkansas Form Book - Complete (2024 Supplement) |
Arkansas Workers' Compensation Commission Forms
18-70 WCC Form I-A1: First Report of Injury or Illness
18-71 WCC Form AR-C: Claim for Compensation
18-72 WCC Form AR-2: Employer's Intent to Accept or Controvert Claim
18-73 WCC Form AR-3: Physician's Report
18-74 WCC Form AR-4: Report of Compensation Paid/Suspension of Benefits
18-75 WCC Form AR-A: Application for Certificate of Non-Coverage
18-76 WCC Form AR-D: Death and Permanent Total Disability Acceptance/Update
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