- Accident Prevention Services Annual Report {HS-31-C}
- Accident Prevention Services Worksheet {HS-31-D}
- Affidavit For Dependents Other Than Spouse Or Child {SF-6}
- Application For Certificate Of Non-Coverage {AR-A}
- Application For Group Self-Insurance {SI-11}
- Application For Membership In A Group {SI-12}
- Application For Voluntary Drug-Free Workplace Program {HS-36-A}
- Authorization For Release Of Student Information {SF-8}
- Certification Of Acceptance {SF-7}
- Claim For Compensation {AR-C}
- Claimants Lump Sum Request Respondents Position {AR-L}
- Contact Designation Form For Claim Office-Medical Billing-Underwriter-Administrator {O}
- Death And Permanent Total Disability Acceptance Update {AR-D}
- Employees Notice Of Injury {AR-N}
- Employers Intent To Accept Or Controvert Claim {AR-2}
- Evaluation Of Accident Prevention Services Of Arkansas Workers Comp Insurance Carriers {HS-31-E}
- First Report Of Injury Or Illness {IA-1}
- Guardians Affidavit-Dependent Children {SF-5}
- Guardianship Affidavit Court-Appointed Non-Minor {SF-2}
- Hazard Survey Report {HS-32-A}
- Health And Safety Plan Coversheet {HS-32-B}
- Health Care Notice For Employees Under Managed Care {AR-H}
- Individual Self-Insurer Application {SI-1}
- Monthly Report On Medical Only Injury Data {AR-M}
- Notice Of Claimant Information Update Change Of Address {SF-1}
- Notification Of Potential Data Error {HS-32-C}
- Occupational Safety And Health Work Experience {HS-31-A}
- Physicians Report {AR-3}
- Power Of Attorney Notice And Affidavit {SF-3}
- Report Of Compensation Paid Suspension Of Payments {AR-4}
- Report Of Mediation Conference {AR-R}
- Supplemental Report {AR-S}
- Surving Spouse Notice And Affidavit {SF-4}
- Third Party Administrator Application Or Registration {TPA}
- Verification Of Permanent Total Disability {AR-V}
- Voluntary Drug-Free Workplace Programs VDFWP Annual Insurance Carrier Report {HS-36-B}
- Wage Statement Immediately Preceding Injury Date {AR-W}
- Workers Compensation Instructions To Employers And Employees {AR-P}