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Click ‘Get Form’ to open the workers comp ar n form 2001 in the editor.
Begin by filling out the Employee Information section. Enter your last name, first name, middle initial, street address or P.O. Box, social security number, city, state, and zip code. Ensure all details are accurate and printed clearly.
Next, move to the Employer Information section. Input the employer's name (e.g., Arkansas Forestry Commission), supervisor’s name, and their complete address including city, state, and zip code.
In the Accident Information section, provide the date and time of the accident along with its location. Describe what part of your body was injured and briefly explain how the injury occurred.
If there were any witnesses to the incident, list their names and addresses in the designated area.
Finally, sign and date the form at the bottom to authorize medical information release regarding your condition.

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Versions	Form popularity	Fillable & printable
2006	4.9 Satisfied (54 Votes)
2001	3.8 Satisfied (31 Votes)

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What not to say to Workmans Comp?

What Not to Say to a Workers Comp Doctor Avoid Downplaying Your Injury: Dont minimize your pain or discomfort. Dont Speculate on Recovery Time: Do not make guesses about how quickly you will recover. Stay Away from Absolute Statements: Do not use words like always or never when describing your symptoms.

Is workers comp required in AR?

Almost every working Arkansan is protected by the Workers Compensation Law, but there are a few exceptions. Businesses where there are two or fewer employees may not be covered. Railroad and maritime workers are covered by federal laws.

How far back can you file a workers comp claim?

State Deadlines for Filing a Workers Compensation Claim AlabamaWithin 2 years from the date of injury or the date of the last compensation payment California Within 1 year from the date of injury Colorado Within 2 years from the date of injury or within 3 years with a compelling reason48 more rows