ADOSH 70 NOTICE OF ALLEGED SAFETY OR HEALTH HAZARDS THE INDUSTRIAL COMMISSION OF ARIZONA DIVISION OF 2026

1. Click ‘Get Form’ to open the ADOSH 70 form in the editor.
2. Begin by filling in the employer's name, address, and telephone number. Ensure accuracy as this information is crucial for processing your complaint.
3. In the section describing hazards, provide detailed descriptions of each hazard you believe exists, including the number of employees exposed. Use clear language to convey your concerns.
4. Specify each location or work area where these hazards are present. This helps authorities understand the scope of the issue.
5. Indicate who has been informed about these hazards by checking the appropriate boxes. This includes options like 'Employer' and 'Federal OSHA'.
6. Complete your personal information in the section for the person filing the complaint, including your relationship to the employer.
7. Decide whether you want your name revealed to the employer and check the appropriate box before signing and dating the form.
8. Once completed, save your form. If you need a signed copy, print it out, sign it, and submit it via fax or postal service as instructed.

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