Get Form Ar-w - Arkansas Workers Compensation Commission

Filling out Form AR-W is an important step in reporting wage information for workers' compensation claims in Arkansas. This guide will provide you with clear step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with section one, providing the details of the weeks worked immediately preceding the injury date. Enter the total straight time hours worked, along with wages paid for straight time in the relevant fields.
3. In the next subsection, input information regarding overtime hours worked, ensuring to record the wages paid for overtime hours accurately.
4. Proceed to complete the employee and employer details. Fill in the employee's name and Social Security number, as well as the employer's name and Federal Employer Identification Number.
5. Next, provide information about the carrier or self-insured entity, including their name and National Association of Insurance Commissioners number.
6. If applicable, complete the instructions provided for entering weekly information, ensuring to follow the format for each week leading up to the injury.
7. Finally, review all entries for accuracy. Once satisfied, you can save changes, download, print, or share the completed form as needed.

Complete your documents online with confidence today.