23 CAR § 27-104. Method of reporting suspected fraudulent insurance acts

(a)(1) The reporting requirement of Arkansas Code § 23-66-505(a) may be satisfied by filing a completed fraud referral form with the Criminal Investigation Division of the State Insurance Department. (2) The form shall be as prescribed by the Insurance Commissioner and may be obtained from the division. (b) A reporting form containing substantially similar language and providing all the information requested in the fraud referral form prescribed by the commissioner may be used if previously approved by the commissioner.