Arkansas HVACR NewsMagazine September 2025

Provided only for Consideration

Not intended as legal document or substitute for getting help from the Department of Labor and Licensing.

Date: _______________

To:

Lindsay Moore Director of Code Enforcement Arkansas Department of Labor and Licensing Arkansas HVACR Licensing Program 900 West Capitol Little Rock, AR 72201

Re:

Statement of Employment & Insurance Coverage Employee Name & License #

Employee Name, License # is employed by Company and covered by our general liability insurance when performing work and services on behalf of our company. Employee Name does not work independently to provide HVACR design, installation, or service for the public. If you have questions or need additional information, please feel free to contact me by phone, text, email, or mail. A cover page of our general liability insurance is enclosed/attached.

My contact information is

Name Position Company Address, City, State Zip Phone # Email address

Sincerely,

Name

Enclosure/Attachment: General Liability Cover Page for Company