MORE INFORMATION
Please complete the Workers' Compensation form and fax to 3584. Send originals via campus mail to Environmental Health and Safety.

* Please have employee initial and date the second page of Form N. Keep a copy for your records.

DOCUMENT DOWNLOADS
Workers' Compensation Governing Principles
Workers' Compensation Form N
Workers' Compensation Form PECD 1
Workers' Compensation Form PECD 2
Workers Compensation Form P
Workers Compensation Form S
Workers Compensation Form H
Workers Compensation Mileage Form

EXTERNAL RESOURCES
Workers' Compensation Commission
Arkansas Public Employee Claims Division