Since the 1990s, we have been providing services to Arkansas’s self-directed programs. Arkansas was one of
the ﬁrst states in the country to offer such programs, and we have been involved since the beginning. Today,
we are the state’s only ﬁscal/employer agent. Our work allows elderly individuals, veterans, and people with
physical disabilities in the state to receive the care they need at home.
Designation of Surrogate Employer
Employment Separation Notice
Hospital Discharge Info
ARIC Program Manual
Program Process for Enrollment
AR4EC State Withholding
Change of Information
Criminal Background Check Forms
Direct Deposit Authorization Agreement
IRS W-4 Federal Withholding
If you don’t see what you’re looking for, or still have questions
about how these programs can meet your needs, let us know!