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Below is the link to the Application for Certificate of Non-Coverage (Form A). Complete the Application, have the Affidavit notarized, and mail along with a check or money order in the amount of $50 to the address on the top of the form. If you need a Certificate expedited, please include your email and phone number and we will email a copy of your Certificate to you.

Certificates of Non-Coverage


2021/2022 AWCC Educational Conference
October 19-20, 2022
Little Rock Doubletree/Robinson Center

Due to the current pandemic and the various unknowns regarding conducting large events, the Commission has made the decision to postpone the 2021 AWCC Educational Conference formerly scheduled for October 27-28, 2021.

We have secured dates with the Little Rock DoubleTree and Robinson Center to reschedule the conference in 2022. The dates for our next conference will be October 19-20, 2022.

Check back often for updates.

Online Searches

Rule 099.41 AWCC Drug Formulary
(effective July 1, 2018)
Click here for further information.

Beginning Jan 1, 2013
Form 1: New Requirements
Form 2: New Form 2 and Instructions
Form 4: New Requirements
Form D: New Requirements

"The Mission of the Arkansas Workers' Compensation Commission is to administer and enforce Arkansas Workers' Compensation Law as authorized by the Constitution and enacted by the Legislature."

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

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