… providing Trade, transportation and utilities4 Information Financial activities Professional … estimates for these industries are not comparable to estimates of other industries. 4 …

… WORKERS’ COMPENSATION TAXES & ASSESSMENTS Industrial … required to file with the ICA on annual basis. 4 QUARTERLY FILING WITH THE INDUSTRIAL …

… INDUSTRIAL COMMISSION OF ARIZONA ARIZONA 2010 CENSUS OF … occupational fatalities in 2010 (compared to 14 percent in 2009). In this category, four …

… Months Factor Months Factor 1 1.00 31 30.54 2 2.00 32 31.51 3 3.00 33 32.48 4 4.00 34 … 29 28.60 59 57.35 30 29.57 60 58.29 Industrial Commission of Arizona Special Fund PRESENT VALUE …

… INDUSTRIAL COMMISSION OF ARIZONA ARIZONA 2013 CENSUS OF … The Arizona fatality rate has increased from 2.43 deaths in 2012 to 3.58 in 2013 for every …

… INDUSTRIAL COMMISSION OF ARIZONA ARIZONA 2014 CENSUS OF …

… Self-Insurer Idenfication # Self-Insurer Name (Company subsidiaries included but not listed) … SI00176 Arizona Counties Insurance Pool 7/1/1994 SI00198 Arizona Municipal Risk Retention Pool …

… INDUSTRIAL COMMISSION OF ARIZONA ARIZONA 2018 CENSUS OF … rate has decreased from 3.0 in 2017 to 2.94 in 2018 for every 100,000 workers in the …

… received the goods at the point of delivery 4. Invoice and Payment. A separate invoice shall … due dates, including discount periods, will be computed from date of receipt of goods or date …

… Keep Copy THIS FORM APPROVED BY THE INDUSTRIAL COMMISSION OF ARIZONA Claims ICA 0124-Rev 07.01.11 REPORT OF SIGNIFICANT WORK …