LaborLawCenter.com - Arkansas Claim for Compensation (Form C)

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Arkansas Claim for Compensation (Form C)

SKU: FFAR165 |

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Product Description

ACA § 11-9-702 allows employees or their dependents to file claims for compensation and sets time limits for those filings.
This is the prescribed form for this action. It is filed directly with the AWCC, usually by claimants or their attorneys.
Care must be taken on Form C:
1. Type or print in ink. Do not use pencil.
2. Employer's business name is needed, not the name of the foreman or supervisor.
3. DoI is essential. If specific date unavailable, list date employee knew of the condition.
4. Employer’s street address is required to allow the AWCC to contact the correct one.
5. Employee's signature is required.

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