Labor - Minimum Wage Main Page
… the Industrial Commission of Arizona authority to enforce and implement the Act’s minimum wage … Wage and Earned Paid Sick Time Laws Visit Website Read the Substantive Policy Statement for …
Special Funds Workers Supplemental Claim For Compensation
… and treating physician will be instructed to complete this form while the injured worker is …
Request for Investigation Pursuant to A.R.S. § 23-1061(J) Form
… This form may be used by an injured worker to request the Administrative Law Judge (“ALJ”) … Industrial Commission offices and the ICA website: www.azica.gov … Request for Investigation …
Workers’ Compensation Fraud
… Instructions Pursuant to A.R.S. § 23-934 the Commission established a Workers’ Compensation …
Informal Payment Dispute Form
… the Medical Resource Office of the Industrial Commission of Arizona to assist stakeholders in discussing payment …
Claims Request to Leave State Form
… continues, without the written approval of the Commission. This form may be used to request approval to leave the state. It must …
ALJ Interested Party Workers’ Compensation Document Submission
… at the ICA’s ALJ Division will be able to serve the ICA using the new filing system. … webform/document upload feature in the new ICA Community. However, in the event an interested …
Special Fund Carrier’s Referral for Vocational Rehabilitation
… This form is to be used as referral for Special Fund’s … self-insured, and/or TPA representative to complete the information requested on the form …
ADOSH Advisory Committee
… Occupational Safety and Health (ADOSH) Advisory Committee was established in 1972 to provide recommendations and assistance to the …
Claims Annual Report of Income Form
… This form is made available for use on this website but is not filed with the Commission. … makes a false statement or representation to obtain any compensation, benefit or payment …