Fee Schedule Corrections & Changes Log - 2011
… Schedule DATE CORRECTION OR CHANGE MADE 1/24/2012 It has come to the Commission's attention that the 2011 …
Special Fund Apportionment Settlement Letter
… a claim with approved apportionment should complete the attached form and submit for consideration. The claimant …
2015 FS Summary of Commission Action
… & Pharmaceutical Fee Schedule 2015 Summary of Commission Action On April 30, 2015, the … and Pharmaceutical Fee Schedule to the 2014 & 2015 editions of the CPT-4 and to update …
4/18/2024 Notice of Public Hearing Regarding One-Half Percent Assessment Under A.R.S. § 23-1065(F) on May 30, 2024
… 4/18/2024 Notice of Public Hearing Regarding One-Half … Under A.R.S. § 23-1065(F) on May 30, 2024 …
ADOSH Discrimination Complaint Form
… may use this form to file a discrimination complaint if the employee believes the employer … to Arizona Revised Statutes (A.R.S.) section 23-425. It is not necessary to use this form. ADOSH …
Claims Record Request Form
… can access claim documents through the ICA Community ( https://azica.my.site.com/claims/s/ … or (2) a court order. See A.R.S. § 23-941(H); A.A.C. R20-5-108. If you are requesting …
Special Funds Carrier's Notification of Scheduled Injury Time Loss
… administrators and self-insured employers must complete this injured worker profile form when a scheduled injury results in the …
Ombudsman
… W Washington St, Phoenix AZ 85007 Phone: (602) 542-4538 Under Arizona law, the Ombudsman Office at the Industrial Commission of Arizona is established to provide …
Special Fund Uninsured Claimants
… Section of the Special Fund processes workers’ compensation claims filed by employees of … then pursues against the noninsured employer for reimbursement of all benefits paid, …
Posters Employers Must Display
… POSTERS REQUIRED POSTING LAST UPDATE Workers' Compensation Compliance Poster Work Exposure … POSTING LAST UPDATE Minimum Wage Poster 2026 (English) ✔ 09/29/2025 Minimum Wage Poster …