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Click ‘Get Form’ to open the CAMPBELL, EMPLOYEE - awcc state ar document in the editor.
Begin by entering your personal information in the designated fields. Ensure that your name, address, and contact details are accurate for proper identification.
Proceed to the section detailing your employment information. Fill in your employer's name and any relevant job title or position held at Rockline Industries.
In the injury description area, provide a clear account of the incident that led to your claim. Include specific details such as date, time, and nature of the injury sustained.
Review all entered information for accuracy. Utilize our platform’s editing tools to make any necessary adjustments before finalizing your submission.

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What is the fax number for the Arkansas Workers compensation Commission?

FAXED reports are acceptable at 501-682-2777.

What is the Workers compensation Act in Arkansas?

What is Workers Compensation? Arkansas no-fault compensation law was created by an initiated act in 1939 to guarantee prompt, automatic benefits to workers injured on the job. Before the Workers Compensation Law, an injured worker had to sue the employer to recover medical costs and lost wages.

What are the death benefits for workers comp in Arkansas?

When an eligible employee dies as the result of a work-related injury or accident, his or her survivors are entitled to weekly benefits, that equal a certain percentage of the employees average weekly wage, based on the number dependents and who they are. A funeral benefit of up to $6,000, is also paid.

What is workers comp coverage in Arkansas?

Workers compensation coverage is paid by your employer at no cost to you. It is your responsibility to report a work-related accident as soon as it happens. This coverage will pay for reasonably necessary medical care you need if you get hurt or get sick because of an injury on your job.