The Support Services Division in the Arkansas WC Commission (AWCC) can assist in providing
and interpreting WC documents. Form SSA-1709 (Request for WC Information) should be
used to request information by fax from the AWCC and does not require prior consent
from the number holder. We must specifically ask for Forms AR-2, AR-4 and JP (joint
petition - if settlement involved) which will provide WC periodic payment information.
Copies of Form AR-2 and AR-4. Fax your requests on Form SSA-1709 to FAX # 501-682-2494. Be sure to include a return
address on Form SSA-1709 and the reply will be sent by mail within a few days. The
AWCC also has a toll free number 1-800-622-4472. Their "Contact Us " page also has email addresses for individual employees in the Support Services
Branch. Any e-mail correspondence should only ask general questions about how to interpret
entries and not identify the specific case.
CAUTION: SSA policy prohibits sending SSNs or other personally identifiable information via
e-mail outside of SSA’s Network. For more information, see procedure for sending SSNs
via email in GN 03325.020B.
NOTE: The AWCC is not an insurance company. AWCC enforces the WC laws to ensure that all
covered employers secure insurance coverage from commercial carriers or through self-insurance
programs. In addition, the AWCC regulates workers' compensation awards to insure that
benefit providers make correct and timely payments to eligible workers.