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The Accident Prevention Services Section monitors and evaluates the performance and effectiveness of workers' compensation insurance carriers providing coverage in the state of Arkansas in accordance with Rule 099.31.
The Accident Prevention Services Section also administers the review process for individuals providing accident services through workers' compensation insurance carriers (Field Safety Representatives or FSR) and individuals providing assistance to employers in the Rule 099.32 "Hazardous Employer Section" (Approved Professional Safety Sources or APSS).
Form HS-31-A (FSR/APSS application
form)(Word compatible rtf format)
Form HS-31-C (Annual Report form)(Word
compatible rtf format)
Form HS-31-D (Accident Prevention Services
worksheet)(Word compatible rtf format)
Form HS-31-E (List of FSRs)(Word
compatible rtf format)

State of Arkansas
Workers' Compensation Commission
324 Spring Street
P.O. Box 950
Little Rock, Arkansas 72203-0950
Telephone 1-501-682-3930 / 1-800-622-4472
Legal Advisor Direct 1-800-250-2511
Arkansas Relay System TDD 1-800-285-1131
For
information or comments regarding this site
contact the AWCC Communications Liaison |