An injured worker or authorized representative may petition to reopen a previously closed claim to secure additional benefits upon the basis of new, additional or previously undiscovered temporary or permanent condition by filing this form with the Commission.  

IMPORTANT:  This petition to reopen form must be completed in its entirety and must be accompanied by a statement from a physician setting forth the physical condition which serves the basis for reopening and its relationship to the industrial injury.

Any interested party or their authorized representative may petition the Commission for a change of doctors by filing this form.   This form must be completed in its entirety including the name, address and telephone numbers of the doctors.  Failure to provide this information may cause a delay in processing of the request. Make sure the doctor you are requesting to change to is willing to provide medical care under the workers’ compensation claim. 

IMPORTANT: If a request to change doctors is being made by an insurance carrier or self-insured employer because the treating doctor is not complying with the provisions of A.R.S. § 23-1062.02(C)(2), the party making the request should specifically state so on this form so that it can be processed accordingly.