Claims - Employer's Report of Injury
… to emails) containing sensitive or personal information (such as social security numbers) to … AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: …
Workers’ Compensation Fraud
… Instructions Pursuant to A.R.S. § 23-934 the Commission established a Workers’ Compensation Fraud Unit for the purpose of investigating fraud in …
Claims Request to Change Doctors Form
… authorized representative may petition the Commission for a change of doctors by filing this form. …
Special Fund Apportionment Settlement Letter
… a claim with approved apportionment should complete the attached form and submit for consideration. The claimant …
Ombudsman
… law, the Ombudsman Office at the Industrial Commission of Arizona is established to provide information about the workers' compensation system …
ADOSH Training Request Form
… This form can be submitted online or it can be … information, contact ADOSH toll free at (855) 268-5251 or (602) 542-5795 (Phoenix) or (520) …
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 …
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 - 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 …
Heat
… physical activities have a high potential for causing heat-related illnesses. … Heat …