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Top Questions and Answers
Under Arizona's law, if you have one or more workers, you must carry workers' compensation insurance. What's covered? In Arizona, workers' comp covers all medical expenses to heal the work-related injury or illness. It can also provide some of the missed wages when injured workers need time off to recover.
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Forms ; SpecFund_5413, Workers Supplemental Claim Form 413, 08/12/16 ; SpecFund_5525, Carrier's Notification of Scheduled Injury Time Loss, 08/12/16. An injured worker or authorized representative may file a workers' compensation claim for benefits by filing this form with the Commission. ... AZ 85716 520-628- ... This form is to be filed with the Commission by mailing the original to the Industrial Commission of Arizona at P.O. Box 19070, Phoenix, AZ 85005. One (1) copy ... Arizona Workers' Compensation Law - Notice to Employees (Bilingual) · ADOA First Fill Letter 2018_0.pdf · Functional Capacity Evaluation · Health Status Report. A list of the necessary forms for filing for workers' comp claim in Arizona · Worker's Report of Injury Form/Worker's and Physician's Report of Injury Form. Get the latest workers' compensation insurance forms for Arizona. Access common workers' comp forms Arizona, applications, guides and helpful manuals for ... Arizona Workers' Compensation Forms. Form ICA 04-0101 ? Employer's Report of Industrial Injury · CL 506-AZ ? Arizona Wage Statement. US Legal Forms. Add Checkmark To Legal Arizona Workers' Compensation Forms ... Accentuate the most important details with the Highlight option ... Copies of the Arizona Workers' Compensation Laws and Arizona Workers' Compensation Practice and Procedure and information about the ICA claims and hearing. Information for Employers. An employer must withhold Arizona income tax from employees whose compensation is for services performed within Arizona.
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