… Unit? The Legal Unit provides legal counsel to the Commission, including to its members, Director, …
… TO BE POSTED BY EMPLOYER POLICY NUMBER … NOTICE TO EMPLOYEES RE: ARIZONA WORKERS’ COMPENSATION LAW All employees are hereby …
Claims Request to Leave State Form
… continues, without the written approval of the Commission. This form may be used to request approval to leave the state. It must …
Special Funds Workers Supplemental Claim For Compensation
… and treating physician will be instructed to complete this form while the injured worker is …
ALJ Interested Party Workers’ Compensation Document Submission
… at the ICA’s ALJ Division will be able to serve the ICA using the new filing system. … webform/document upload feature in the new ICA Community. However, in the event an interested …
Request for Investigation Pursuant to A.R.S. § 23-1061(J) Form
… This form may be used by an injured worker to request the Administrative Law Judge (“ALJ”) … Industrial Commission offices and the ICA website: www.azica.gov … Request for Investigation …
Informal Payment Dispute Form
… the Medical Resource Office of the Industrial Commission of Arizona to assist stakeholders in discussing payment …
ADOSH Advisory Committee
… Occupational Safety and Health (ADOSH) Advisory Committee was established in 1972 to provide recommendations and assistance to the …
Quorum Notice for November 21, 2019
… QUORUM NOTICE THE INDUSTRIAL COMMISSION OF ARIZONA Notice is hereby given to the members of the Industrial Commission of …
Chairman
… Kavanaugh, a Mesa resident, is a retired attorney who has been a member of the State Bar of … served as Chief Counsel of the Industrial Commission of Arizona as well as serving as a …