ALJ Interested Party Workers’ Compensation Document Submission

Any interested party (or their authorized representative) with a claim currently in litigation at the ICA’s ALJ Division will be able to serve the ICA using the new filing system. The preferred method of service is via the webform/document upload feature in the new ICA Community. 

However, in the event an interested party opts instead to serve the ICA by SFTP, Electronic Fax, U.S. Mail, or Hand Delivery, use of this form is requested. 

Please fill out the form completely. If the document to be submitted is not listed on the form, check the document type “miscellaneous” provided on the form. Note:  Only one document type on the form can be checked per submission. Failure to use or complete the form correctly may cause a delay in processing.