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 …
Claims - Filing a Professional Employer Organization (PEO) Agreement
… AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: … to file this Notice with the PEO's Workers' Compensation Insurance Carrier and The …
Claims - Employer's Report of Injury
… Claims Division Employer's Report of Injury Ruby Tate, … AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: …
Claims - Workers' Compensation - General Information
… Claims Division Workers' Compensation - General Information Ruby Tate, … AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: …
2010 FS Summary of Commission Action
… Director Laura McGrory, Director Kara Dimas, Commission Secretary Email: [email protected] …
ADOSH Compliance Assistance Instructions
… An employer may request a free compliance assistance activity or visit for a … information, contact ADOSH toll free at (855) 268-5251 or (602) 542-5795 (Phoenix) or (520) …
Claims Record Request Form
… can access claim documents through the ICA Community ( https://azica.my.site.com/claims/s/ … ) at no cost and no request form is required. Workers’ compensation claim records …
Substantive Policies Directory - Other Than ADOSH
… Legal Division Afshan Peimani, Chief Legal Counsel … (602) 542-5781 FAX: (602) 542-6783 Industrial Commission of Arizona Directory of ICA …
Claims - AMW Statutory Maximum for 2015
… AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: … for 2015 As directed by statute, the Industrial Commission has adopted a new maximum average …
Labor - Youth Employment - Occupational Restrictions
… AZ 85007 - Phone: (602) 542-4515 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: … involving laundering or dry cleaning in a commercial laundry. Occupations involving …