Ombudsman
… law, the Ombudsman Office at the Industrial Commission of Arizona is established to provide information about the workers' compensation system …
Claims Petition to Reopen Form
… temporary or permanent condition by filing this form with the Commission. IMPORTANT : This petition to …
Claims - Petition to Reopen
… AZ 85716 - Phone: (520) 628-5181 FAX (use for either office): (602) 542-3373 Phone List of … undiscovered conditions. IMPORTANT: The completed form must be filed at an Industrial …
Legal Employers Workers Compensation Insurance Inquiry Response Form Instructions
… requires that all employers maintain workers’ compensation coverage for their employees. See A.R.S. § 23-961. Any …
ADOSH - VPP Star List
Claims - Workers' Compensation Compliance Poster
… Claims Division The Workers' Compensation Compliance Poster Ruby Tate, Claims … AZ 85716 - Phone: (520) 628-5181 FAX (use for either office): (602) 542-3373 Phone List of …
ADOSH - Forms, Brochures, and Posters
… (ADOSH) Jessie Atencio, ADOSH Director Email: Com[email protected] Phoenix Office 800 W … List of ICA Divisions Click here Request for Workplace Safety Poster Please Note: In …
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 …
Heat
… physical activities have a high potential for causing heat-related illnesses. … Heat …
ADOSH Notice of Alleged Safety or Health Hazards Form
… that an imminent danger exists may use this form to file a notice of alleged safety or … description. IMPORTANT: Upon request of the complainant employee or employee representative …