Official Disability Guidelines
… Guidelines) About the ODG: The Industrial Commission of Arizona (Commission) has adopted … by MCG Health, as the standard reference for evidence based medicine within the context …
MRO Request for Administrative Peer Review Form
… This form is to be used by Medical Providers, Injured … denied the request, or (3) a Payer failed to communicate its decision on a request for …
Claims Request to Leave State Form
… An injured worker may not leave the state for a period exceeding two weeks, (15 days or … continues, without the written approval of the Commission. This form may be used to request …
Accounting Initial Pool Application for Authority to Self-Insure Instructions
… This application to self-insure is for Arizona pools that have the ability to apply … to Self-Insure the payment of workers’ compensation as provided by A.R.S. § 23-961.01, …
Claims - Request for Hearing
… Claims Division Request for a Hearing Ruby Tate, Claims Manager Email: … you may request a Hearing. Important: This completed form must be filed at an Industrial …
ICA Job Posting: Applications Developer
… Industrial Commission Of Arizona Applications Developer 800 … W. Washington Phoenix, AZ Are you ready to work for an exceptional state agency that works to …
Labor - Youth Employment - Occupational Restrictions
… Divisions Click here Please see A.R.S. § 23-230 for definitions of the occupations listed. … involving laundering or dry cleaning in a commercial laundry. Occupations involving …
Claims - Significant Work Exposure
… AZ 85716 - Phone: (520) 628-5181 FAX (use for either office): (602) 542-3373 Phone List of … Significant Exposure Under the Arizona Workers’ Compensation Act Related Downloads: Essay …
Accounting Self-Insured Employer - Quarterly Tax Form
… to pay a tax of two thousand dollars or more for the preceding calendar year must file a … Employer - Quarterly Tax Form . This completed form must be submitted by the end of …
ICA Job Posting: Administrative Service Officer II
… Application Information Administrative Service Officer II 800 … Arizona? If so, apply with us! The Industrial Commission of Arizona (ICA) is committed to the …