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Tools & Documents for Workers
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Authorization For Release of Medical Records
I hereby authorize the Arkansas Workers’ Compensation Commission to release my medical records in its possession.
- Type
- Last Updated
- 2025-01-07
Authorization for Release of Protected Health Information
Authorization for release of protected health information (HIPAA compliant)
- Type
- Last Updated
- 2025-01-07
Common Workers' Comp Terms
- Type
- Last Updated
- 2025-01-07
First Fill Program Pharmacy Card
- Type
- DOC
- Last Updated
- 2025-01-07
Form AR-C Claim for Compensation
- Type
- Last Updated
- 2025-01-07
Form AR-N Employees Report of Injury
- Type
- Last Updated
- 2025-01-07
Mileage Claim Form
- Type
- Last Updated
- 2025-01-07