Fill Out Legal Arizona Workers' Compensation Forms For Free

Arizona's workers' compensation statute of limitations requires an injured worker to report his or her work-related injury within 1 year from the date of injury. If the worker doesn't file a claim before the 1 year deadline, he or she may forfeit their right to receive compensation.

§ 23-908(A) within eight days after first providing treatment to an injured worker. The physician shall report the injury: 1. Using Commission form 102 (worker's and physician's report of injury), or 2. Attaching to form 102 a medical report that contains the information required in form 102.

If you have a scheduled injury, you will receive between 50 and 75 percent of your pre-injury wages for a certain number of months. The percentage you receive is based on the extent of the injury, while the state schedule designates the duration of benefits.

The employer is required to file an Employer's First Report of Injury or Illness [DWC FORM-001 Rev. 10/05] with the injured worker's insurance carrier, and the injured claimant or the claimant's representative within 8 days after the employee's absence from work or receipt of notice of occupational disease.

A claim is made either by filling out and signing a Worker's and Physician's Report of Injury at the doctor's office or by obtaining a Worker's Report of Injury (use download link directly above to obtain report form) from the ICA, and filing either report with the ICA. Both of these reports constitute a "claim form."

There is a mandatory seven-day waiting period for workers' compensation benefits in Arizona. This means you must be out of work for seven consecutive days before you can receive benefits.