Workers Comp

Workers Compensation

In the event of a Workers Compensation Injury the following forms must be completed immediately and mailed to the central office as follows:

FIRST REPORT of INJURY – Completed by Supervisor
FORM AR-N – Completed by Injured Employee

Mail to:

CAROLYN IRBY
SWADC
3902 SANDERSON LANE
TEXARKANA, AR 71854

If you have questions regarding reporting please contact Carolyn Irby at 870-773-5504 Extension 120 or 800-814-2103.

REMINDER: ALL Workers Comp Injuries require the employee to have a Post Accident DRUG TEST immediately! Our drug testing facility contact information is provided in the menu to the left.

If you have questions regarding drug testing please contact Regina Emanuel at 870-773-5504 Ext. 116.

Workers Compensation Forms
If you are unable to find the form(s) or information you need in this document module, please contact:

Regina Emanuel, Director of Human Resources
3902 Sanderson Lane
Texarkana, AR 71802-1857
PH: 870-773-5504
FAX: 870-772-6540
EMAIL: remanuel@swadc.org

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