Claims - Request to Leave the State
… AZ 85716 - Phone: (520) 628-5181 FAX (use for either office): (602) 542-3373 Phone List of … processed in accordance with Arizona Workers’ Compensation Law. If you fail to get approval …
2019-arizona-physicians-fee-schedule
… Arizona Physicians' Fee Schedule - 2019 March 26, 2020 Updates to the 2019/2020 Fee Schedule …
Medical Resource Office (MRO)
… medical advice to the public. Materials and information provided by the Medical Resource Office are for informational purposes only, and should not …
Alert
… State Labor Department, part of the Industrial Commission of Arizona, has recently received … documents titled “Employment contract agreement for house Manager/supervisor” and “Letter of …
Claims - About Gradual Injury
… 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 …
Informal Payment Dispute Form
… Informal Payment Dispute Resolution Process The … the Medical Resource Office of the Industrial Commission of Arizona to assist stakeholders in …
Claims Worker’s Report of Injury Form
ExamRegistration
… Industrial Commission of Arizona Out-of-State Adjuster … Adjuster Certification Registration Visit Website Please complete registration …
Dental Rate Table Form Website Instructions
… Fee Schedule Dental Rate Table Request Form Instructions for Dental Rate Table Request Form Stakeholders may complete a Dental Rate Table Request Form from …
Fee Schedule Public Comments 2022
… Fee Schedule Staff Proposals and Request for Public Comment Date Posted: 2022/2023 Fee Schedule …