Motion to Appoint Guardian Ad Litem for a Minor (1982)
… Use this motion form if a claimant or a beneficiary is a minor. Pursuant to law, a Guardian Ad Litem (GAL) must be …
Main Page for Brochures, Forms, and Posters
… Forms, and Posters Phoenix: 800 W Washington St, Phoenix AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: …
2010 FS Summary of Commission Action
… Office of the Director Laura McGrory, Director Kara Dimas, Commission Secretary Email: [email protected] …
Legal Petition for Attorney’s Fees
… Arizona law permits workers’ compensation claimants and their attorneys to file a petition, prior to a final …
Claims Request for Hearing Form
… This form may be used to request a hearing. It must be completed in … Industrial Commission offices and the ICA website: www.azica.gov . … Claims Request for …
Motion to Appoint Guardian Ad Litem for an Incapacitated Adult (1982)
… Use this motion form if a claimant or a beneficiary is an incapacitated adult. Pursuant to law, a Guardian Ad Litem (GAL) must be …
Claims - Petition to Rearrange or Readjust Compensation
… Claims Division Petition to Rearrange or Readjust Compensation Ruby Tate, … AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: …
MRO Request for Administrative Peer Review Form
… This form is to be used by Medical Providers, Injured … contact information provided on the MRO website). For more information, contact (602) …
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 …
Official Disability Guidelines
… Guidelines) About the ODG: The Industrial Commission of Arizona (Commission) has adopted … decisions for injured workers. Please refer to: Article 13, Treatment Guideline Rules …