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Arkansas Department of Finance and Administration
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Workers Comp 

TitlePosted
Worker's Compensation Memo01/12/2010
Form 1A-1 - First Report of Injury09/28/2010
Form PECD1 - Employee's Report of Accident01/12/2010
Form PECD2 - Worker's Comp Information Sheet01/12/2010
Form AR-N - Employee's Notice of Injury01/12/2010
Form AR-S - Supplemental Report01/12/2010
Mileage Reimbursement for (Medical Mileage)01/12/2010

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Little Rock, AR 72201

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