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Arkansas Workers' Compensation Commission

Accident Prevention Services Section

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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