Frequently Asked Questions
… Frequently Asked Questions Phoenix: 800 W Washington St, Phoenix AZ 85007 - Phone: (602) 542-4411 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: …
… Number of Reserve Number of Reserve Months Factor Months Factor 1 1.00 31 30.53 2 2.00 32 … 7 6.98 37 36.34 8 7.97 38 37.30 9 8.96 39 38.26 10 9.95 40 39.22 11 10.94 41 40.18 12 11.93 …
… Number of Reserve Number of Reserve Months Factor Months Factor 1 1.00 31 29.66 2 2.00 32 … 46.56 21 20.38 51 47.42 22 21.32 52 48.28 23 22.26 53 49.14 24 23.19 54 50.00 25 24.12 55 50.85 …
… 11 3 5 -- -- -- -- Agriculture, Forestry, Fishing and … 5 -- -- -- 3 -- -- Building Finishing … 3 -- -- -- -- -- -- Miscellaneous Durable Goods Merchant …
… Number of Reserve Number of Reserve Months Factor Months Factor 1 1.00 31 30.65 2 2.00 32 … 12.94 43 42.32 14 13.93 44 43.29 15 14.92 45 44.26 16 15.91 46 45.23 17 16.90 47 46.20 18 17.89 …
… 32.7 18.2 14.5 33.7 1,990.8 53.7 27.2 15.2 12.1 26.5 298.0 9.8 5.6 3.1 2.5 4.2 32.5 1.3 0.7 0.5 … 6.2 0.2 0.1 0.1 0.1 0.1 Specialty trade contractors . . . . . . . . . . . . . . . . . . . . . . …
Accounting Notice of Self-Insurer’s Termination of Self-Insurance Form Instructions
… employer currently authorized by the Industrial Commission of Arizona to self-insure its incurred workers’ …
Claims Petition to Reopen Form
… or authorized representative may petition to reopen a previously closed claim to secure … condition by filing this form with the Commission. IMPORTANT : This petition to …
… THE INDUSTRIAL COMMISSION OF ARIZONA ICA Community Administrator Account Request Form (“Party”) (FEIN: ) …
… Total goods producing Natural resources and … -- -- -- -- -- -- -- -- -- -- -- Caught in or compressed by object or equipment 550 -- -- -- …