Labor Frequently Asked Questions (English)
… 800 W Washington St, Phoenix AZ 85007 - Phone: (602) 542-4515 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: …
Claims - About Suspension of a Claim
… 800 W Washington St, Phoenix AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: …
EPST/Minimum Wage Retaliation Claim Form
… related to accrual of earned paid sick time, noncompliance issues, usage of earned paid sick … Retaliation Claim Form must be filed within one year from the date the alleged violation …
ICA Job Posting: Administrative Assistant 2
… Industrial Commission of Arizona Administrative Assistant 2 … Skill in: Using a computer system, telephone and other office equipment. Researching and …
Legal-BackUpPage
… 800 W Washington St, Phoenix, AZ 85007 Phone: (602) 542-5781 FAX: (602) 364-1395 Submit a … Report an employer who does not carry workers’ compensation insurance. Click here The Sole …
Claims Request to Change Doctors Form
… authorized representative may petition the Commission for a change of doctors by filing … entirety including the name, address and telephone numbers of the doctors. Failure to provide …
Special Fund Carrier’s Referral for Vocational Rehabilitation
… This form is to be used as referral for Special … self-insured, and/or TPA representative to complete the information requested on the form …
Claims Request for Hearing Form
… This form may be used to request a hearing. It must be completed in its entirety including the reason …
ADOSH Advisory Committee
… The Arizona Division of Occupational Safety and Health (ADOSH) Advisory Committee was established in 1972 to provide …
MRO Request for Administrative Peer Review Form
… This form is to be used by Medical Providers, … denied the request, or (3) a Payer failed to communicate its decision on a request for …