Main Page for Brochures, Forms, and Posters
2010 FS Summary of Commission Action
… Office of the Director Laura McGrory, Director Kara Dimas, Commission Secretary Email: [email protected] …
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 …
ADOSH - VPP Commitment
… Safety and Health (ADOSH) Brian Hudson, Director Email: Com[email protected] Phoenix Office … Phone: (602) 542-5795 Toll Free: (855) 268-5251 FAX: (602) 542-1614 Tucson Office 2675 …
Claims - About Uninsured Employers
… Email: [email protected] Phoenix: 800 W Washington St, Phoenix AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: …
Claims - About Independent Medical Evaluations
… Email: [email protected] Phoenix: 800 W Washington St, Phoenix AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: …
ADOSH - Forms, Select Policies, Posters, Brochures, etc.
… and Health (ADOSH) Jessie Atencio, ADOSH Director Email: Com[email protected] Phoenix Office … Cycling" of Mechanical Power Presses Visit Website Certification of Workplace Products by …
Frequently Asked Questions
… Frequently Asked Questions Phoenix: 800 W Washington St, Phoenix AZ 85007 - Phone: (602) 542-4411 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: …
Claims Petition to Reopen Form
… or authorized representative may petition to reopen a previously closed claim to secure … condition by filing this form with the Commission. IMPORTANT : This petition to …
Accounting Notice of Self-Insurer’s Termination of Self-Insurance Form Instructions
… employer currently authorized by the Industrial Commission of Arizona to self-insure its incurred workers’ …