


 










|
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.
Certificates of Non-Coverage
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.
OR
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.
Visit the Arkansas State Home Page

State of Arkansas
Workers' Compensation Commission
324 South 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,
or for information about how to obtain public records,
contact the AWCC Communications Liaison
Privacy Statement |