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ARKANSAS WORKERS COMPENSATION COMMISSION Form ARH Authority: Ark. Code Ann. 119514, ACC Rule 7, 33 Revised 112001 324 Spring Street, Little Rock, AR 72201 Mail: P. O. Box 950, Little Rock, AR 722030950
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Provide the required employment details, including your current job title, company name, and address. If you are self-employed, make sure to provide accurate information regarding your business.
05
Fill in the requested information regarding your work-related injury or illness, providing as much detail as possible. Describe the nature of the injury or illness, how it occurred, and any medical treatment received.
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Who needs awcc form h:
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Employees who have suffered a work-related injury or illness are typically required to fill out awcc form h. This form helps them report their condition and initiate any necessary workers' compensation claims.
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Employers may also need to be aware of awcc form h, as they may be responsible for providing the required information to the injured employee and assisting them in completing the form accurately.
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What is awcc form h?
AWCC Form H is a form used for reporting workplace injuries and illnesses to the Arkansas Workers' Compensation Commission.
Who is required to file awcc form h?
Employers in Arkansas are required to file AWCC Form H when an employee suffers a workplace injury or illness.
How to fill out awcc form h?
AWCC Form H can be filled out online through the AWCC website or by submitting a paper form to the commission.
What is the purpose of awcc form h?
The purpose of AWCC Form H is to report workplace injuries and illnesses to ensure proper compensation and treatment for affected employees.
What information must be reported on awcc form h?
AWCC Form H requires information about the injured employee, the nature of the injury or illness, and the circumstances surrounding the incident.
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