Arizona Employer Report of Injury Form

State:
Arizona
Control #:
AZ-WC-24
Format:
PDF
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Description

ELECTRONIC FILLABLE FORMS The Arizona Employer Report of Injury Form is an official document used by employers in Arizona to report to the Industrial Commission of Arizona any job-related injury or illness that occurs to an employee. This form must be completed and submitted within 10 days of the incident to ensure that the employee's rights and the employer's responsibilities are protected. There are two types of Arizona Employer Report of Injury form: the AR-1 and the AR-2. The AR-1 form is used to report any work-related injury or illness that requires the employee to miss more than three days of work, or requires medical treatment beyond first-aid. The AR-2 form is used to report any work-related injury or illness that does not require medical treatment beyond first-aid, or requires the employee to miss three or fewer days of work. Both forms require the employer to provide details of the incident, including the date and time of the incident, the employee's job duties at the time of the incident, and the type of injury or illness.

The Arizona Employer Report of Injury Form is an official document used by employers in Arizona to report to the Industrial Commission of Arizona any job-related injury or illness that occurs to an employee. This form must be completed and submitted within 10 days of the incident to ensure that the employee's rights and the employer's responsibilities are protected. There are two types of Arizona Employer Report of Injury form: the AR-1 and the AR-2. The AR-1 form is used to report any work-related injury or illness that requires the employee to miss more than three days of work, or requires medical treatment beyond first-aid. The AR-2 form is used to report any work-related injury or illness that does not require medical treatment beyond first-aid, or requires the employee to miss three or fewer days of work. Both forms require the employer to provide details of the incident, including the date and time of the incident, the employee's job duties at the time of the incident, and the type of injury or illness.

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Arizona Employer Report of Injury Form