CLAIM FORMS
These are the forms needed to file a claim with the Arkansas Claims Commission.
Beneficiary FORM:
This is the Beneficiary Form that every department needs to have everyone of their members fill out and keep in a file. It only needs to be completed and filed one time, unless there is a change to the status of beneficiary.
Supporting and instructional documentation
List of Services
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Firefighter DefinitionList Item 1
PDF size: 23KB
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Filing a Claim
PDF size: 37KB
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Death and Disability Benefit Claims
PDF size: 54KB
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2010 Arkansas Code title 6 Education 6-82-504
PDF size: 69KB
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2010 Arkansas Code title 6 Education 6-82-505
PDF size: 17KB
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2010 Arkansas Code Title 6 Education 6-82-507
PDF size: 16KB
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2014 Arkansas Code Title 6 Education 6-82-503
PDF size: 33KB
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2015 Arkansas Code Title 6 Education 6-82-506
PDF size: 16KB
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Information Regarding Death Benefits
PDF size: 35KB
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Information Regarding Cancer Death Benefits
PDF size: 17KB
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Information Regarding Disability Benefits
PDF size: 42KB
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Information Regarding Scholarship Benefits
PDF size: 28KB