Get Ar Hs-31-c 2010-2025
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How to fill out the AR HS-31-C online
The AR HS-31-C form is essential for reporting on accident prevention services in Arkansas. This guide will help you understand how to complete the form accurately and efficiently, ensuring compliance with the reporting requirements.
Follow the steps to fill out the form effectively.
- Click ‘Get Form’ button to access the form and open it in an editor.
- Begin by entering the name of the insurance company in the designated field.
- Provide the telephone number of the insurance company, ensuring all area codes are included.
- Fill in the complete mailing address for the insurance company, including street, city, state, and zip code.
- Enter the NAIC Company number and NAIC Group number in the relevant fields.
- Indicate the total amount spent for accident prevention services during the current calendar year. Include salaries and travel expenses.
- In section 7a, enter the total amount of workers’ compensation insurance written manual premium in Arkansas for the year.
- Complete section 7b with the total amount of workers’ compensation insurance direct premium written in Arkansas for the year.
- Provide the name and office of the individual who supplied the premium information in section 7c.
- Fill in the number of Field Safety Representatives and Approved Professional Safety Sources used by the insurance company.
- Record the total number of on-site inspections performed by Field Safety Representatives.
- Identify the number of Arkansas workers’ compensation insurance policyholders for various premium groups listed in section 10.
- For section 11, input the current year and previous year, as well as the total number of medical-only and indemnity claims opened, along with the total amounts paid on these claims.
- Certify that the information is accurate by providing the name, title, and signature of the designated representative, along with the date.
- Make sure to include an email address and review all entries for accuracy before submitting.
- Once completed, save your changes, download a copy, print the form, or share it as needed.
Complete your AR HS-31-C form online to ensure timely and accurate reporting.
Related links form
In Arkansas, there is typically a waiting period of seven days before workers' compensation benefits start. If your absence due to injury extends beyond 14 days, you may receive retroactive benefits back to the first day of your injury, as outlined in the AR HS-31-C documentation. Knowing this waiting period helps you plan financially during your recovery. For detailed guidance, consider exploring our legal forms to streamline your claims process.
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