Claims - Request for Hearing
… Washington St, Phoenix AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ … you may request a Hearing. Important: This completed form must be filed at an Industrial …
Official Disability Guidelines
… Guidelines) About the ODG: The Industrial Commission of Arizona (Commission) has adopted … by MCG Health, as the standard reference for evidence based medicine within the context …
Accounting Initial Pool Application for Authority to Self-Insure Instructions
… to Self-Insure the payment of workers’ compensation as provided by A.R.S. § 23-961.01, … under A.R.S. § 11-952.01 or A.R.S. § 41-621.01. The information submitted in the …
Claims Request to Leave State Form
… An injured worker may not leave the state for a period exceeding two weeks, (15 days or … continues, without the written approval of the Commission. This form may be used to request …
Claims - Request for Dependents' Benefits (Fatality)
… Claims Division Request for Dependents' Benefits (Fatality) Ruby Tate, … Washington St, Phoenix AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ …
ICA Job Posting: Applications Developer
… Industrial Commission Of Arizona Applications Developer 800 … the ICA’s Human Resources Department at (602) 542-5559. … ICA Job Posting: Applications …
… COMPLIANCE 1. What is the function of the … it to the Compliance Unit for further handling. 4. I received an Order of Civil Penalty, what …
Labor - Youth Employment - Occupational Restrictions
… Washington St, Phoenix AZ 85007 - Phone: (602) 542-4515 Tucson: 2675 East Broadway, Tucson AZ … involving laundering or dry cleaning in a commercial laundry. Occupations involving …
Accounting Self-Insured Employer - Quarterly Tax Form
… Employer - Quarterly Tax Form . This completed form must be submitted by the end of … Taxes to [email protected] or call (602) 542-1836. Arizona Revised Statutes Any insurer …
Youth Labor Complaint Form
… Instructions for Filing a Youth Labor Complaint The Youth Labor Complaint Form is be … Under the Age of 16); and A.R.S. § 23-334 (Minimum Age of Newspaper Carriers). Do not …