Arkansas Workers Comp Certificate Of Non Coverage With Medicare
Description
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
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.
Businesses where there are two or fewer employees may not be covered. Railroad and maritime workers are covered by federal laws. The Arkansas Workers' Compensation Law does not apply to employment of agricultural farm labor, domestic help, or employment by non-profit, religious, charitable or relief organizations.
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.
Most Arkansas businesses with three or more employees are required to carry workers' compensation insurance coverage.
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.