Special Fund Uninsured Claimants
… Special Fund Division Uninsured Claimants Pursuant to A.R.S. § … Section of the Special Fund processes workers’ compensation claims filed by employees of …
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 …
Claims - Filing a Professional Employer Organization (PEO) Agreement
… AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: … to file this Notice with the PEO's Workers' Compensation Insurance Carrier and The …
… 2019 (94 total fatal injuries) Characteristics Value Fires and explosions - … - Residential institution - Street and highway 26 Industrial place and premises 20 Other not …
Claims - Employer's Report of Injury
… Claims Division Employer's Report of Injury Ruby Tate, … AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: …
Informal Payment Dispute Form
… Informal Payment Dispute Resolution Process The Informal Payment … the Medical Resource Office of the Industrial Commission of Arizona to assist stakeholders in …
Claims - Workers' Compensation - General Information
… Claims Division Workers' Compensation - General Information Ruby Tate, … AZ 85007 - Phone: (602) 542-4661 Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: …
2010 FS Summary of Commission Action
… Director Laura McGrory, Director Kara Dimas, Commission Secretary Email: [email protected] …
Vice Chairman
… Joseph M. Hennelly, Jr. is a co-founding member of a Phoenix law firm … of various entities in the workers' compensation arena. His practice also involves …