Workers’ Compensation Data Fields 29 th • An AR2 is due in all cases by the fifteenth (15 ) day from (a) date of disability or (b) the day the employer is aware of the alleged incident, whichever date is later • Please send us the ARW wage form as soon as it’s received from the employer For AR forms EDI needs: • The initial date of disability • Last day worked • Waiting period dates • Average Weekly Wage/Compensation rate • ARW wage form ***NOTE: There is up to a $500.00 fine for untimely filing of forms*** 3TM Automatic EDI diary triggers set in Claims New WC claim 225 Claim Denied 4110 Add WC Return to Work Status 4030 Change WC Return to Work Status 4030 Delete WC Return to Work Status 4030 Close Claim 255 Confidential, Proprietary and Trade Secret Document of NARS and protected by the Florida Uniform Trade Secrets Act, chapter 688, Florida Statutes. No use allowed unless specifically authorized.