Tools & Documents for Workers

Filter

Authorization For Release of Medical Records

I hereby authorize the Arkansas Workers’ Compensation Commission to release my medical records in its possession.

Type
PDF
Last Updated
2016-03-18

Authorization for Release of Protected Health Information

Authorization for release of protected health information (HIPAA compliant)

Type
PDF
Last Updated
2016-03-18

Common Workers' Comp Terms

Type
PDF
Last Updated
2016-08-11

First Fill Program Pharmacy Card

Type
DOC
Last Updated
2016-06-14

Form AR-C Claim for Compensation

Type
PDF
Last Updated
2016-06-06

Form AR-N Employees Report of Injury

Type
PDF
Last Updated
2016-06-06

Mileage Claim Form

Type
PDF
Last Updated
2016-03-18