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Form SI-12 Rev. 8/01/2006 Ark. Code Ann. 11-9-404 & AWC C Rule 099.05 ARKANSAS WORKERS' COMPENSATION COMMISSION SELF-INSURANCE DIVISION 324 Spring Street, Little Rock, AR 72201 Mail: P. O. Box 950,
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Identification Number (VEIN) ; or Current Federal Identification Number (FIN); or Current Company Identification Number (IN); or Employer Identification Number (EIN). 1. I am 18 years of age or older. 2. I am a citizen of the United States, and I have complied with the requirements prescribed by the laws of the jurisdiction, or of the country in which the company is incorporated, in which I reside. 3. Furthermore, I am the owner of an automobile, as defined in Section 2-603 of Title 49 of the United States Code, or in possession of a passenger motor vehicle subject to the registration of such motor vehicle under subsection (h) of Section 6-605.1, of this Code, and I am paying the annual or monthly fee for the privilege of operating such motor vehicle as prescribed by the laws of the jurisdiction in which I reside. 4. Furthermore, I am a resident of the State of Arkansas, and I have complied with the requirements prescribed by the laws of the jurisdiction, or of the country in which the company is incorporated, in which I reside. 5. Furthermore, I have made a written application (the “Application”) for membership and am I requesting membership information from the Membership Department. 6. Furthermore, I intend to participate in all the operations of the organization only through the services of its member companies or through the services of a contractor or other subcontractor of an applicant company, and I have complied with the requirements prescribed by the laws of the jurisdiction in which I reside. 7. Furthermore, I have read the Policies of the Association adopted by the Board of Directors and Corporate Management. 8. Furthermore, I agree that the Company and I shall not engage in any activity subject to the jurisdiction of any state or local body, and that our officers, directors, employees, contractors, and agents shall not engage in such activity except within the jurisdiction of the State of Arkansas. Applicant, if you reside in a State other than the State of Arkansas, you may be required to use a State issued driver's license or photo ID card at registration when requesting membership.

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Creationdirect xml report converter is a tool or software used to convert XML reports generated by the creationdirect system into a readable format for analysis and reporting.
Anyone who uses the creationdirect system and needs to analyze or report on the data collected.
The creationdirect xml report converter is typically an automated process that takes XML reports as input and generates a formatted, readable report as output. Users may need to configure the converter to properly handle the specific XML file format.
The purpose of the creationdirect xml report converter is to facilitate analysis and reporting on the data collected by the creationdirect system. It allows users to extract meaningful information from the XML reports and present it in a more understandable format.
The specific information that needs to be reported on the creationdirect xml report converter depends on the data captured by the creationdirect system. It could include details such as customer information, sales data, product details, and any other relevant information.
The deadline to file the creationdirect xml report converter in 2023 may vary depending on the specific reporting requirements or deadlines set by the organization using the creationdirect system. It is recommended to consult the documentation or guidelines provided by the organization.
The penalty for late filing of the creationdirect xml report converter is typically determined by the organization or governing body responsible for the reporting requirements. It may include financial penalties, loss of privileges, or other consequences. The specific penalty should be outlined in the documentation or guidelines provided.
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