Claims - About New Form 104
… 800 W Washington St, Phoenix AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: …
Frequently Asked Questions
… 800 W Washington St, Phoenix AZ 85007 - Phone: (602) 542-4411 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: …
AZ Medical Data Reports
… Medical Resource Office Phone List of ICA Divisions Click here Medical … Arizona are prepared by the National Council on Compensation Insurance ("NCCI") for those who …
Self-Insurance and Tax Office
… Division - Self-Insurance and Tax Office Phone List of ICA Divisions Click here View … on the Self-insurance Program Download Workers' Compensation Coverage Verification Download …
ALJ Backup
… Gary Israel, ALJ-in-Charge (Tucson) Location Phone FAX 800 W Washington St, Phoenix AZ 85007 (602) 542-5241 (602) 542-4135 2675 East Broadway, Tucson AZ 85716 (520) …
Cranes and Derricks / Hex Chromium / Steel Erection
… 85007 (PO Box 19070, Phoenix AZ 85005-9070) Phone: (602) 542-5795 Toll Free: (855) 268-5251 FAX: (602) 542-1614 Tucson Office 2675 …
ADOSH - How to Report a Workplace Fatality
… 85007 (PO Box 19070, Phoenix AZ 85005-9070) Phone: (602) 542-5795 Toll Free: (855) 268-5251 FAX: (602) 542-1614 Tucson Office 2675 …
ADOSH - Boiler Safety Section
… cease-and-desist orders are issued without monetary penalties. Once violations are … agencies as shown under “List of Authorized companies for Boiler Inspections” below. List of …
The Commissioners
… A five-member Commission is responsible for determining the … Industrial Commission of Arizona. Each Commissioner is appointed by the Governor to a five-year …
Motion to Appoint Guardian Ad Litem for a Minor (1982)
… Use this motion form if a claimant or a beneficiary is … GAL, an Administrative Law Judge will appoint one at no cost to the parties. … Motion to …