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  1. (2) For purposes of this section, an employee's diminished future earning capacity shall be a numeric formula based on empirical data and findings that aggregate the average percentage of long-term …

  2. Professional Development Requirement (PDR) Reporting Form Please complete this form and attach all documentation.

  3. Most preferred and efficient method to submit a dispute/appeal is through Molina’s Provider Portal. Providers can search and locate the adjudicated claim on the Molina Portal and submit a …

  4. Enrollment in the Arkansas Professional Development Registry (PDR) signals a provider's commitment to quality care and education for young children. PDR is a gateway for those who work in early …

  5. Fields with an asterisk ( * ) are required. Be specific when completing the DESCRIPTION OF DISPUTE and EXPECTED OUTCOME. Provide additional information to support the description of the dispute. …

  6. Fuel consumed during idling time is not eligible for refund. To claim a refund, complete Schedule PDR-1PTO, Power Take-Of Worksheet, and attach it to this form. If you file IFTA returns, please use these …

  7. Please complete the form fields below. Fields with an asterisk (*) are required. Forms with incomplete fields may be returned and delay processing. Be specific when completing the DESCRIPTION OF …