Workers Compensation Forms for all 50 States | State Forms and Information | Claimwire: Workers' Compensation Resource for Forms and Information

Register Login

Arkansas Forms

62 State Forms found

name	number	revision	print or send online
EMPLOYEE’S NOTICE OF INJURY	Form AR-N	Updated: 8-1-2006
WORKERS COMPENSATION – FIRST REPORT OF INJURY OR ILLNESS	Form IA-1	(r 1-1-02)
SUPPLEMENTAL REPORT	Form AR-S	Revised: 1-1-2001
ACCIDENT PREVENTION SERVICES ANNUAL REPORT	Form HS-31-C	Rev. 7-1-2010
Accident Prevention Services Worksheet	Form HS-31-D	Rev. 7-1-2010
AFFIDAVIT FOR DEPENDENTS OTHER THAN SPOUSE OR CHILD	Form SF-6	Rev. 1-1-2001
Application for (check all that apply) ‘Approved Professional Safety Source (APSS) ‘Field Safety Representative (FSR)	Form HS-31-A	Rev. 1-1-2008
APPLICATION FOR CERTIFICATE OF NON-COVERAGE	Form AR-A	Revised 1-1-2024
APPLICATION FOR MEMBERSHIP IN A GROUP	Form SI-12	Rev. 2/20/2024
Application for Voluntary Drug-Free Workplace Program	Form-HS-36-A	Rev. 7-1-2010
AUTHORIZATION FOR RELEASE OF MEDICAL RECORDS	No Form Number	No Form/Rev Date
AUTHORIZATION FOR RELEASE OF STUDENT INFORMATION	Form SF-8	Rev. 1-1-2001
CERTIFICATION OF ACCEPTANCE	Form SF-7	Rev. 1-1-2001
CLAIM FOR COMPENSATION	Form AR-C	Updated: 6-16-14
Contact Designation Form for CLAIM OFFICE - MEDICAL BILLING - UNDERWRITER - ADMINISTRATOR	Form O	Eff 7/01/2017

1
2
3
4
5

Disclaimer: These forms may not be the most recent version. Arkansas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on this site. Please check official sources.

Loading results ...

Origami Risk

1379 N 1075 W, Suite 226,
Farmington, UT 84025
312.546.6515
info@origamirisk.com

© 2025 Origami Risk. All Rights Reserved.