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Get AR HS-31-C 2010-2024

O. Box 950, Little Rock, AR 72203-0950 501-682-3930 / 1-800-622-4472 ACCIDENT PREVENTION SERVICES ANNUAL REPORT 1) Insurance Company: 2) Telephone no.: ( 3) Mailing Address: 4) City, State, Zip: ) 5a) NAIC Company no.: ____________________ 5b) NAIC Group no.: ____________________ 6) Total amount spent for accident prevention services during the current calendar year (salaries, travel): $___________________ 7a) Total amount of workers’ compensation insurance written manual premium in A.

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