Skip to main content
Search

Motion to Appoint Guardian Ad Litem for an Incapacitated Adult

Motion to Appoint Guardian Ad Litem for an Incapacitated Adult

Instructions

Use this motion form if a claimant or a beneficiary is an incapacitated adult. Pursuant to law, a Guardian Ad Litem (GAL) must be appointed for such persons. Additionally, the law requires that the GAL must be an attorney licensed in the State of Arizona. You will need to provide the attorney’s bar license number in the motion form. If you do not have an attorney to request for appointment as GAL, an Administrative Law Judge will appoint one at no cost to the parties.

E-sign Electronic Submission Form

Motion for Guardian Ad Litem

Printable Form

Quorum Notice for May 13, 2024

… Quorum Notice for May 13, 2024 …
Know more

Fatal Injury Graphs (Set I)

… by persons or Contactwith objects animals 26 3%) and equipment (8.4%) Falls, sips,tips …
Know more
news-default.jpeg

Commission announces Admin & Special Fund Assessment Rates for CY 2016

… Commission announces Admin & Special Fund Assessment Rates for CY 2016 …
Know more

Legal Uninsured Employer Complaint Form

… law requires that all employers have workers’ compensation coverage for their employees.  See A.R.S. § 23-961.  Any …
Know more

ADOSH Notice of Alleged Safety or Health Hazards Form

… that an imminent danger exists may use this form to file a notice of alleged safety or … description.  IMPORTANT:  Upon request of the complainant employee or employee representative …
Know more

Yuma 10

… No overdue inspections were found for this report request. … Yuma 10 …
Know more

Request for Hearing Form

Request for Hearing Form

Instructions

This form may be used to request a hearing. It must be completed in its entirety including the reason for the request. The request for a hearing should indicate which notice, award, or order is being protested and the grounds on which the hearing is requested.  Failure to state the reason for the request may cause a delay in processing.  

This form is not used as a Request for Investigation pursuant to A.R.S. § 23-1061(J).  For a Request for Investigation, this form must be used: - Request For Investigation Form -

Information about the Industrial Commission of Arizona’s claims and hearing process including applicable laws and rules are available at the Industrial Commission offices and the ICA website:  www.azica.gov.

E-sign Electronic Submission Form

Request for Hearing Form

Printable Form

Processing Claims

… Processing Claims Visit Website … Processing Claims …
Know more

Special Fund Uninsured Claimants

… Section of the Special Fund processes workers’ compensation claims filed by employees of … then pursues against the noninsured employer for reimbursement of all benefits paid, …
Know more