Arizona Claims Kit Download Page

Workers Compensation Claim Reporting Documents

  • Employer’s Report of Industrial Injury. As soon as you have been notified of a work-related injury, complete this form and submit it to your carrier.  This form must be completed within 10 days from notice of an accident.  Fatalities must be reported within 24 hours.

Workers Compensation Posting Notices

Please print and post the following notices in a conspicuous location frequented by employees, such as the breakroom. If you have multiple business locations, be sure to post the notices at each location.
 

Employers must post the following two forms immediately next to the Notice to Employees:

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