Arkansas Workers Comp Certificate Of Non Coverage With Evidence Development

State:
Arkansas
Control #:
AR-00A-WC
Format:
PDF
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Description

Application for Certificate of Non-Coverage

How to fill out Arkansas Instructions On Fee And Notary Statement Application For Certificate Of Non-Coverage (2-Sided) Required Notary Statement?

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FAQ

Wage Benefits Waiting Period: There is a seven-day waiting period in Arkansas. If the disability continues for 14 days, the injured employee will be entitled to wage benefits for the first seven days.

Most employers with 3 or more employees are required to buy workers' compensation coverage in the state of Arkansas. Sole Proprietors, Partners, Corporate Officers and LLC Members are all included in coverage, but may elect to be exempt. Exclusion forms in the state of Arkansas are company specific.

Download the Application for Certificate of Non-Coverage (Form A) at the link below. Complete the Application, have the Affidavit notarized, and decide on a payment option. Applications can be mailed, along with the notarized affidavit and a check or money order for $50, to the address at the top of the form.

How to File a Workers' Compensation Claim in Arkansas Step 1: Notify Your Employer. ... Step 2: Try Resolving the Dispute Prior to Filing Forms. ... Step 3: Find the Correct Forms & Fill Them Out. ... Step 4: File and Serve Forms. ... Step 5: Attend All Mediation, Settlement Discussions, and Hearings. ... Step 6: Filing an Appeal.

Who is exempt from Arkansas Workers' Comp insurance? Businesses with fewer than three employees, with some exceptions, are not required to have workers' compensation insurance. Arkansas workers' compensation laws also do not apply to the employment of the following workers: Agricultural farm labor.

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Arkansas Workers Comp Certificate Of Non Coverage With Evidence Development