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Form 102 is required by the Industrial Commission of Arizona for a Physicians Initial Report of Injury. The report must be made using or by attaching a report to the form.
Under Arizona law, it is mandatory for employers to secure workers compensation insurance for their employees. Workers compensation is a no fault system in which an injured employee is entitled to receive benefits for an industrial injury, no matter who caused the job-related accident.
A claim is made either by filling out and signing a Workers and Physicians Report of Injury at the doctors office or by obtaining a Workers 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.
Under Arizona law, it is mandatory for employers to secure workers compensation insurance for their employees. Workers compensation is a no fault system in which an injured employee is entitled to receive benefits for an industrial injury, no matter who caused the job-related accident.
Whats 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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A claim is made either by filling out and signing a Workers and Physicians Report of Injury at the doctors office or by obtaining a Workers 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.

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