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Industrial Commission of Arizona
Protection of life, health, safety, and welfare of Arizona's workforce

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ICA W-9

Read more about ICA W-9

Information on Consultation Services

Read more about Information on Consultation Services

Report of Significant Work Exposure

Read more about Report of Significant Work Exposure

Request for Certificate Inspection . . . of Boiler or Fired Pressure Vessel (Word)

Read more about Request for Certificate Inspection . . . of Boiler or Fired Pressure Vessel (Word)

Request for Certificate Inspection . . . of Boiler or Fired Pressure Vessel (PDF)

Read more about Request for Certificate Inspection . . . of Boiler or Fired Pressure Vessel (PDF)

Letter of Appointment for house manager/supervisor

Read more about Letter of Appointment for house manager/supervisor

Notice of Alleged Safety or Health Hazards Form (English)

Read more about Notice of Alleged Safety or Health Hazards Form (English)

Workplace Safety Poster (Bilingual)

Read more about Workplace Safety Poster (Bilingual)

Powerpoint Presentation on the Self-insurance Program

Read more about Powerpoint Presentation on the Self-insurance Program

Nonfatal Case Characteristics

Read more about Nonfatal Case Characteristics

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Contact

Phoenix Office
800 W. Washington Street
Phoenix, AZ 85007

 

Tucson Office
2675 E. Broadway Blvd
Tucson AZ 85716

 

Phoenix: (602) 542-4661
Tucson: (520) 628-5188

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