How to Complete Arkansas Workers' Compensation Form AR‑P

What makes the AR‑P form unique to Arkansas?

The AR‑P is the state‑specific claim packet used by employers, insurers, and injured workers to report a workplace injury under Arkansas workers' compensation law. Unlike generic claim forms, AR‑P requires the employer's Workers' Compensation Insurance Policy Number, the exact OSHA injury classification, and a signed employer notice within three days of the incident. Missing any of these Arkansas‑only elements can delay benefits or trigger penalties.

Key sections of the AR‑P and what to enter

Break the form into four main blocks: Employer Information, Employee Details, Incident Description, and Medical/Compensation Data. Each block has mandatory fields (marked with an asterisk on the PDF) and optional fields that help the insurer process the claim faster.

Employer Information

Provide the legal business name, address, and the Arkansas Workers' Compensation policy number. The form also asks for the employer's "AR‑P filing identifier," which is a nine‑digit code assigned by the Arkansas Workers' Compensation Commission (AWCC). If you don't have this code, request it from the AWCC before filing.

Employee Details

Enter the worker's full name, Social Security number, job title, and hire date. The employee's "date of birth" is required for age‑based wage calculations used in benefit determinations.

Incident Description

Record the exact date and time of the injury, location (including any specific site code if the workplace is a multi‑site operation), and a concise narrative of how the injury occurred. Use the OSHA "Part 1910" classification code that best matches the incident; this aligns Arkansas reporting with federal safety standards.

Medical/Compensation Data

List the treating physician's name, address, and National Provider Identifier (NPI). Include the initial diagnosis, estimated days off work, and the employer's estimated wage loss percentage. If the employee is receiving temporary total disability (TTD), indicate the calculated benefit amount based on the state's 2/3 average weekly wage formula.

Filing process and timelines

Submit the completed AR‑P to the employer's insurance carrier within three business days of the injury. The carrier then forwards it to the AWCC within ten days. For claims involving serious injury or death, the employer must also file a supplemental "Form AR‑P‑S" within 30 days. All filings can be done electronically through the AWCC's online portal, which provides receipt confirmation and tracking.

Common errors and how to avoid them

1. Omitting the policy number or filing identifier – the claim is rejected outright.2. Incorrect OSHA code – leads to misclassification and delayed medical approvals.3. Failure to sign – both employer and employee signatures are mandatory; unsigned forms are returned for correction.4. Late submission – penalties can include a $500 fine per day after the three‑day window.

Quick reference table

Where to get help

The Arkansas Workers' Compensation Commission offers a downloadable guide and a helpline (501‑682‑3030). Many employers also rely on third‑party benefits administrators who specialize in AR‑P compliance. For employees, the Arkansas Department of Labor provides free counseling on claim rights and filing assistance.