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ARKANSAS WORKERS COMPENSATION Commissioner SF5 Rev. 112001SPECIAL FUNDS DIVISIONAutho city: Ark. Code Ann. 119801SF5324 Spring Street, P. O. Box 950, Little Rock, AR 722030950 5016825187 / 18668808444
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How to fill out arkansas workers compensation commission

01
Obtain the necessary forms from the Arkansas Workers Compensation Commission (AWCC) website or by contacting their office directly.
02
Read the instructions carefully and gather all the required information and documentation.
03
Fill out the first section of the form, providing your personal and contact details.
04
Provide details about the work-related injury or illness, including the date, time, and location of the incident.
05
Describe the nature of the injury or illness and provide any relevant medical information.
06
Provide information about your employment, including the name of your employer and your job title.
07
Fill out the section on any previous workers' compensation claims or settlements.
08
Sign and date the form, and make copies for your records.
09
Submit the completed form to the AWCC either online, by mail, or in person.
10
Follow up with the AWCC to ensure your claim is being processed and to provide any additional information as requested.

Who needs arkansas workers compensation commission?

01
Anyone who sustains a work-related injury or illness in the state of Arkansas and requires compensation for medical expenses, lost wages, or disability benefits needs to submit a claim to the Arkansas Workers Compensation Commission.
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The Arkansas Workers Compensation Commission is a state agency responsible for administering laws related to workers' compensation in Arkansas.
Employers in Arkansas are required to file with the Arkansas Workers Compensation Commission to report their coverage and pay premiums.
Employers can fill out the Arkansas Workers Compensation Commission forms online or by mail, providing information about their business and employees.
The purpose of the Arkansas Workers Compensation Commission is to ensure that employees who are injured on the job receive appropriate medical treatment and compensation.
Employers must report information such as their business name, contact information, number of employees, job classifications, and payroll.
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