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Please note prior to completing this Application: 1. Arkansas law generally requires workers' compensation insurance for every employment:.Download the Application for Certificate of Non-Coverage (Form A) at the link below. Enter the self-insured company's formal name. This is a complete listing of all Division of Workers' Compensation Forms. The forms are also available in individual listings. If you require assistance with completing these forms, please contact us. Workers' Compensation Board, insurance carrier, injured employee or employee's representative, This form is filed within 48 hours of first treatment. Electronic filing of the Contractor Certification Form 61A is now available. Click here to complete the form and receive your acknowledgement of compliance.