LaborLawCenter.com - Arkansas Employer's First Report of Injury or Illness (Form 1)

Browse Categories

Industry Solutions

Business Services

Customer Support

Peace of Mind

Top 5 reasons why you should choose LaborLawCenter™.

Get it Fast

Free UPS Ground Shipping on all orders over $50.

Order Forms

Ordering can be done online, by phone, fax or mail.

Arkansas Employer's First Report of Injury or Illness (Form 1)

SKU: FFAR140 |

E-mail this product to a friend

This product is offered FREE from LaborLawCenter™

Options:

Arkansas Employer's First Report of Injury or Illness (Form 1) - $0.00

Quantity:

Reminder: After you have selected your free form(s) and added it to your cart, you are to complete the checkout process. You will not be charged for the form(s). Upon completion of the checkout process, you will be sent an email with a link to download your free form(s). For more information click here.

Product Description

On Form 1, employers/carriers must:
1. List in the Occurrence Section the DEN of the injury. The 10 days to report begin either on the DoD or the DEN, whichever date is later.
2. Give the name of the carrier. An agency or TPA should be listed in the Preparer's Section. A carrier can preprint its name and address in the Carrier Section to help clients properly report.
3. Specify the carrier FEIN in the Carrier Section.
4. Type or print in ink. An illegible, incomplete Form 1 will be returned.
Neglect of Form 1: Late employee benefits, exposing employers to fines. Lack of Form 1: Delays in insurance investigation.

Browse Categories

Industry Solutions

Business Services

Customer Support

CALL US TOLL FREE

800-745-9970