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 …
Labor - Youth Employment - Hours Restrictions
… Labor Department Melissa Spurgeon, Director Email: [email protected] Phoenix: 800 W … AZ 85007 - Phone: (602) 542-4515 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: …
ADOSH Request for Boiler Certificate Form
… An owner, user or licensed contractor must request a Certificate Inspection prior … user or licensed contractor shall have on-site the Manufacturer's Data Report for the …
Claims - Worker's Report of Injury
… Do not use the above email address to send emails (or attachments to emails) … numbers) to the ICA because neither the website nor email is secure. Instead, FAX such …
ADOSH - Boilers - Links to Codes
… Boiler Safety Section Brian Hudson, ADOSH Director Email: Com[email protected] Phoenix Office … Phone List of ICA Divisions Visit Website Links to Codes That Apply to Boilers and …
Claims Worker’s and Physician’s Report of Injury Form
… An injured worker must file a workers’ compensation claim in writing with the … occurred. The time for filing a claim begins to run when the injury becomes manifest or when …
Claims - Drug and Alcohol Testing Certification
… Email: [email protected] Phoenix: 800 W Washington St, Phoenix AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: …
ADOSH - Safety and Health Compliance
… Safety and Health (ADO SH) Brian Hudson , Director Phoenix Office 800 W Washington St, Phoenix … Phone: (602) 542-5795 Toll Free: (855) 268-5251 FAX: (602) 542-1614 Tucson Office 2675 …
Frequently Asked Questions
Special Fund Supportive Medical Care
… Fund Division Supportive Medical Care Pursuant to A.R.S. § 23-1065 (prior to August 8, 1973), … and processed in accordance with workers’ compensation guidelines. … Special Fund …