Claims Dependent Benefits Claim Form
… the deceased worker must file a claim with the Commission (“Claim for Dependent’s Benefits - Fatality”) to secure workers’ compensation benefits and …
Claims - AMW Statutory Maximum for 2011
… Claims Division Average Monthly Wage Statutory Maximum for 2011 Ruby Tate, Claims Manager … AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: …
Claims Professional Employer Agreement Form
… Employer Organization (PEO) is required to file this Notice with the PEO's Workers' Compensation Insurance Carrier and the …
Claims Petition for Rearrangement Form
… a Petition for Rearrangement or Readjustment of Compensation if a qualifying change in earning … determination was made. The burden of proof to establish the change rests with the filing …
ADOSH - Elevator Safety Section
(ADOSH) Complaint Forms
… Safety and Health (ADOSH) Brian Hudson, Director Phoenix Office 800 W Washington St, Phoenix … de Discriminación (Español) Visit Website … (ADOSH) Complaint Forms …
Claims - AMW Statutory Maximum for 2015
… Claims Division Average Monthly Wage Statutory Maximum for 2015 Molly Jones, Claims … AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: …
Claims - About Gradual Injury
… Email: [email protected] Phoenix: 800 W Washington St, Phoenix AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: …
Labor - Youth Employment Main Page
… Labor Department Melissa Spurgeon, Director Email: [email protected] Phoenix: 800 W … Phoenix AZ 85007 Phone: (602) 542-4515 Tucson: 2675 East Broadway, Tucson AZ 85716 Phone: (520) …
Contact the ICA
… The Industrial Commission of Arizona - How to Contact Us Main Phone Numbers of the ICA … Judge (Hearings) 542-5241 ADOSH 542-5795 (855) 268-5251 Claims 542-4661 Director 542-4411 Human …