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Arkansas Form Center


Welcome to the most extensive library of workers' compensation forms available anywhere. Almost 3,000 forms are available for your immediate download and use. Our forms, all of which have been custom programmed by WorkersCompensation.com for Type & Save functionality, are available for individual purchase below.

Try a Forms Membership! If you have an ongoing need for multiple forms, and want complete and unrestricted access to our entire 3,000 "Type & Save" Forms Library, you may register for immediate access here. Annual subscribers to this service get the benefit of our forms updating system, making sure the forms they use are the most current available.

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(form1) First Report of Injury or Illness - 1/02
(form2) Employer's Intent to Accept or Controvert - 1/01
(form3) Physician's Report - 1/01
(form4) Report of Compensation Paid/Suspension Report - 1/01
(forma) Application for Certificate of Non-Coverage Required Notary Statement - 1/08
(formar-a) Application for Certificate of Non-Coverage - 1/08
(formc) Claim for Compensation - 8/06
(formd) Death And Permanent Total Disability Acceptance/Update - 1/01
(formh) Health Notice for Managed Care - 1/01
(forml) Lump Sum Request/Respondent's Position - 1/01
(formm) Monthly Medical-Only Injury Data - 1/01
(formn) Notice to Employer/Notice to Employee - 8/06
(formn-sp) Notice to Employer/Notice to Employee (Spanish) - 8/06
(formo) Claim Office / Administrator / Underwriter Designation Form - 1/08
(formp) Poster of Instructions - 4/02
(formp-sp) Poster of Instructions (Spanish) - 10/04
(formr) Report of Mediation Conference - 1/01
(forms) Supplemental Report - 1/01
(formv) Verification of Permanent-Total Disability - 1/01
(formw) Wage Statement - 1/01
(formhs-31a) Application for Approved Professional Safety Source (APSS) and/or Field Safety Representative (FSR) - 1/08
(formhs-31c) Accident Prevention Services Annual Report - 1/08
(formhs-31d) Accident Prevention Services Worksheet - 1/08
(formhs-32a) Hazard Survey Report - 1/08
Health and Safety Plan Cover Sheet - 1/08
(formhs-36a) Voluntary Drug-Free Workplace Program Application - 1/08
(formhs-36b) Voluntary Drug-Free Workplace Program Annual Insurance Carrier Report - 1/08
(formsi-1) Individual Self-Insurer Application - 8/06
(formsi-11) Group Self-Insurance Application - 8/06
(formsi-12) Application for Membership in a Group - 8/06
(formsi-tpa) Third Party Administrator Application/Registration Form - 8/06