Arkansas Affidavit for Dependents Other Than Spouse or Child

• Category: Arkansas Workers Compensation - Official
• State: Arkansas
• Control #: AR-SF-6-WC
• Format: PDF

Description

Affidavit for Dependents Other Than Spouse or Child The Arkansas Affidavit for Dependents Other Than Spouse or Child is a document used by Arkansas residents, or those claiming to be residents, to claim a dependent other than a spouse or a child. This document is used to declare the relationship between the person claiming the dependent and the dependent, and to provide proof of eligibility for benefits. The Arkansas Affidavit for Dependents Other Than Spouse or Child is available in two forms: the Arkansas Affidavit for Dependents Other Than Spouse or Child — Non-Military and the Arkansas Affidavit for Dependents Other Than Spouse or Child — Active Duty Military. The Non-Military form must be completed by the person claiming the dependent, and the Active Duty Military form must be completed by the dependent's commanding officer. Both forms must be notarized. The affidavit requires the claimant to provide information such as the name and address of the dependent, the nature of the relationship between the claimant and the dependent, and any other evidence of eligibility.

The Arkansas Affidavit for Dependents Other Than Spouse or Child is a document used by Arkansas residents, or those claiming to be residents, to claim a dependent other than a spouse or a child. This document is used to declare the relationship between the person claiming the dependent and the dependent, and to provide proof of eligibility for benefits. The Arkansas Affidavit for Dependents Other Than Spouse or Child is available in two forms: the Arkansas Affidavit for Dependents Other Than Spouse or Child — Non-Military and the Arkansas Affidavit for Dependents Other Than Spouse or Child — Active Duty Military. The Non-Military form must be completed by the person claiming the dependent, and the Active Duty Military form must be completed by the dependent's commanding officer. Both forms must be notarized. The affidavit requires the claimant to provide information such as the name and address of the dependent, the nature of the relationship between the claimant and the dependent, and any other evidence of eligibility.