Customer Service Representative 2
… Industrial Commission Of Arizona Customer Services … W. Washington Phoenix, AZ Are you ready to work for an exceptional state agency that works to …
SHARP Application Form Instructions
… new SHARP candidates to fill out an application form. The form is used to provide the ADOSH … Consultation Team will reach out to schedule a visit to discuss your site and develop a plan …
ADOSH Request for Boiler Certificate Form
… with R20-5-408, R20-5-404B, and R20-5-419. This form may be used to make this request. The … Data Report for the boiler and pressure vessel, comply with the clearances requirements …
Accounting Self-Provider of Medical Benefits Form Instructions
… employer currently authorized by the Industrial Commission of Arizona to self-insure its … employer, can choose to direct medical care for its injured employees pursuant to A.R.S. § …
Claims - About Suspension of a Claim
… (602) 542-3373 Phone List of ICA Divisions Visit Website About Suspension of a Claim An … without the written approval of the Industrial Commission. For more information on this topic, …
Motion to Appoint Guardian Ad Litem for a Minor (1982)
… Use this motion form if a claimant or a beneficiary is a minor. … a Guardian Ad Litem (GAL) must be appointed for such persons. Additionally, the law requires …
2025/2026 Fee Schedule Proposals and Request for Public Comments
Legal Main Page Where Meetings Are Held
… Pursuant to A.R.S. §38-431.02, the Industrial Commission of Arizona will post notices of … through Friday from 8 a.m. to 5 p.m., except for legal holidays and State mandated furlough …
Claims - About Loss of Job or Loss of Earning Capacity
… AZ 85716 - Phone: (520) 628-5181 FAX (use for either office): (602) 542-3373 Phone List of … Loss of Job There is nothing under Workers’ Compensation Law that protects an injured …
Claims - About Independent Medical Evaluations
… AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: (520) 628-5181 FAX (use for either office): (602) 542-3373 Phone List of …