099.00.97 Ark. Code R. § 006 - Report of Mediation Conference (WCC Form R)
Current through Register Vol. 2022, No. 3, March, 2022
BEFORE THE ARKANSAS WORKERS' COMPENSATION COMMISSION.
_________________________________, EMPLOYEE CLAIMANT
_________________________________, EMPLOYER RESPONDENT
_________________________________, CARRIER RESPONDENT
REPORT OF MEDIATION CONFERENCE
At the (telephone  in person) conference on ____________________ (date)
authorized representatives of the Claimant (  Yes  No) and the Respondent (  Yes  No) attended, and the following issues were fully resolved by the parties in the presence of the undersigned mediator:  None, or
A copy of this Report is filed in the case file and mailed to each party, who is to make any written objection as to its accuracy within ten (10) days to the Clerk of the Commission.
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