ADOSH Compliance Assistance Instructions
… a free compliance assistance activity or visit for a facility or workplace location. … information, contact ADOSH toll free at (855) 268-5251 or (602) 542-5795 (Phoenix) or (520) …
Claims - Request to Change Doctors
… 800 W Washington St, Phoenix AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: …
Obtaining Workers' Compensation Coverage Information
… 800 W Washington St, Phoenix AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: …
ICA Job Posting: State Industrial Hygienist
… business across the State of Arizona through visits and outreach training. This position … Logs for trends, and encourage an employer into one of ADOSH's partnership programs. Work …
MRO Trainings
… benefit stakeholders in the Arizona Workers’ Compensation system. Healthcare providers and … who treat injured workers. Please note that no one in the Medical Resource Office is an …
Accounting Self-Insured Employer Annual Injury Report Form
… NOTE: AS OF APRIL 1, 2023, THE INDUSTRIAL COMMISSION WILL NO LONGER ACCEPT PAPER FORMS. … 1 listed below. Each claim must be included in one, and only one, of the three claim …
Accounting Insurance Carrier Quarterly Tax Form
… an Insurance Carrier - Quarterly Tax Form. This completed form must be submitted by the end of … of the tax due plus interest at the rate of one percent per month from the date the tax was …
Research & Statistics Division
… Division) For BLS historical data please visit the Research & Statistics Division Archive … report is issued in two parts. The text is in one part and the charts are available separately …
Special Funds Workers Supplemental Claim Form 413
… and treating physician will be instructed to complete this form while the injured worker is … of a class 6 felony and is subject to up to one and one-half years in prison, a fifty …
Claims Worker’s and Physician’s Report of Injury Form
… An injured worker must file a workers’ compensation claim in writing with the Commission within one year after the injury occurred. The time for …