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Accounting Division Phone: (501) 371-2605 Fax: (501) 682-6679 |
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ANTI-FRAUD ASSESSMENT
DUE BY JUNE 30TH EACH YEAR
We do not honor the postmark for any filing. Filings must be received on or before the due date or late penalties will be assessed in accordance with ACT 337 of 1997; A.C.A. §23-100-101, ET SEQ.
Payment must be made payable to:
STATE INS DEPT CRIMINAL INVESTIGATION DIVISION TRUST FUND
Please read the instructions attached to the form before completing and mailing the form to us.
Antifraud Assessment-Word Antifraud Assessment-PDF
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