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  1. University of Arkansas for Medical Sciences
  2. Institutional Relations
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  4. Arkansas Traveler Certificate Request

Arkansas Traveler Certificate Request

The Arkansas Traveler Certificate conveys special recognition to out-of-state visitors who have contributed to the well-being of the State of Arkansas. To request an Arkansas Traveler Certificate, please fill out the form below,  your request will go through an approval process, and the Secretary of State has the discretion to decline or approve any requests. Once they are submitted and approved, you will be notified by a member of our office.

  • Only a UAMS Employee may complete this form. For non-UAMS employees who wish to submit a Traveler Certificate Application, please use the application found on the Arkansas Secretary of State Website.
  • MM slash DD slash YYYY
    (Please allow at least 30 days for processing.)
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Mailing Address: 4301 West Markham Street, Little Rock, AR 72205
Phone: (501) 526-6043
Fax: (501) 686-8137
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