Download the Application for Certificate of Non-Coverage (Form A) at the link below.
Complete the Application, have the Affidavit notarized, and decide on a payment option.
Applications can be mailed, along with the notarized affidavit and a check or money order for $50, to the address at the top of the form. To receive an expedited electronic copy of your Certificate, provide your email address and phone number on the Application.
We accept Online Payments for Certificates of Non-Coverage. Applications must be completed, and the affidavit notarized before starting the online payment process.
Early-Bird registration is now open for the 2023 Educational Conference. Attendees can register through Whova at the following link https://whova.com/portal/registration/awcce2_202310/ For more information regarding the conference as well as additional information on becoming an EXHIBITOR or SPONSOR at the conference please click on the link on the left side of this page.
State of Arkansas
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