Home
Forms Library
Request for Hearing - Industrial Commission of Arizona - ica state az

Request for Hearing - Industrial Commission of Arizona - ica state az 2025

Request for Hearing - Industrial Commission of Arizona - ica state az Preview on Page 1

See details

4.4 out of 5

25 votes

The document is a request form for a hearing with the Industrial Commission of Arizona, intended for injured workers to contest decisions related to their claims. It outlines necessary information such as the injured worker's details, claim numbers, reasons for the hearing request, and witness information. The form must be submitted to an Industrial Commission office and includes instructions on compliance with privacy laws and accessibility provisions.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to modify Request for Hearing - Industrial Commission of Arizona - ica state az online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

With DocHub, making changes to your paperwork requires only a few simple clicks. Follow these fast steps to modify the PDF Request for Hearing - Industrial Commission of Arizona - ica state az online for free:

Register and log in to your account. Log in to the editor with your credentials or click on Create free account to evaluate the tool’s features.
Add the Request for Hearing - Industrial Commission of Arizona - ica state az for redacting. Click the New Document option above, then drag and drop the document to the upload area, import it from the cloud, or via a link.
Modify your template. Make any changes required: add text and pictures to your Request for Hearing - Industrial Commission of Arizona - ica state az, highlight details that matter, erase parts of content and replace them with new ones, and add symbols, checkmarks, and areas for filling out.
Finish redacting the form. Save the modified document on your device, export it to the cloud, print it right from the editor, or share it with all the parties involved.

Our editor is very intuitive and efficient. Try it out now!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What does the Industrial Commission of Arizona do?

The Industrial Commission of Arizona administers and enforces state laws relating to the protection of life, health, safety and welfare of Arizonas employees. This includes laws relating to workers compensation, occupational safety and health, payment of wages, and child labor.

What does the Arizona Corporation Commission regulate?

The Commission regulates investor-owned or privately-owned utilities that provide gas, water, electricity or telephone service. Examples are: Southwest Gas, Arizona Public Service, Tucson Electric Power, Centurylink Communications, LLC, and EPCOR Water Arizona, Inc.

How much do you get from workers comp in Arizona?

The formula is 66 and ⅔ percent of the difference between your pre-injury wages and your post-injury wages. Unemployment benefits the injured worker receives count as post-injury wages for this calculation.

What does the AZ labor Board do?

Serving the workers and employers of Arizona by conducting thorough, expedient, and impartial investigations related to wage, earned paid sick time, minimum wage and youth labor.

Is WC required in Arizona?

Under Arizona law, it is mandatory for employers to secure workers compensation insurance for their employees.

What is the waiting period for workers compensation in AZ?

Arizona workers compensation does not pay benefits for income replacement benefits until you have been out of work for seven days or had light-duty work restrictions for seven days. Your wage loss benefits will not include these seven days unless you are out of work for at least 14 straight days.

How long are unscheduled disability awards paid in Arizona?

Unscheduled if the injury is not recognized by Arizona law as scheduled, the benefits are based on the loss of earning capacity, which may continue for the lifetime of the disabled worker. These awards take approximately 90 days from the issuance of the notices by the insurance carrier.

Request for Hearing - Industrial Commission of Arizona - ica state az 2025

Here's how it works