Arizona Workers Comp Forms

Download Arizona workers compensation forms and employer coverage guides.

Workers Compensation Shop.com is your source for workers compensation quotes, information, and forms for Arizona. We have compiled a list of downloadable forms, brochures, and guides for AZ employers and employees. Contact us if you need help locating a form or have questions about your policy or coverage in general. One of our Work Comp Specialists are ready to assist you.

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Arizona Workers Compensation Insurance Forms

AZ Acord 130 Workers' Compensation Application

The standard Acord 130 application form for workers' comp coverage in Arizona.

Arizona Employer FAQ

Frequently Asked Questions for Arizona Employers- A Guide to Workers Compensation in Arizona.

Arizona Notice to Employees

Arizona requires employers to post this notice of workers compensation insurance in a place where employees will see it.

Arizona Employee Guide to Claims

Arizona guide to claims for injured employees.

Arizona Employer's Report of Injury Form

AZ Employers' Report of Injury Form.  Employers should complete this form and send to their insurance company each time an injury occurs.

Arizona Employee's Report of Injury Form

AZ Employee's Report of Injury Form.  Employee's should complete this form and send to their insurance company each time an injury occurs.

Workers' Compensation for the Injured Worker Information Booklet

A comprehensive booklet presenting information regarding workers' compensation insurance

Employers' Guide to Workers' Compensation

This is a document containing an overview of information pertaining to Arizona workers' compensation.

Arizona Notice of Rejection of terms

Form for the reduction or discontinuation of workers' compensation in Arizona.

Worker's Revocation of the Rejection of Terms

This form is for employees' whom have filed a rejection of the terms of Arizona workers' compensation law, and wish to revoke the rejection that they filed.

State Resources for Arizona

Arizona State Insurance Dept.

2910 North 44th Street Ste 210
Phoenix, AZ 85018
602-364-2499
Arizona Department of Insurance

Industrial Commission of Arizona

800 West Washington Street
Phoenix, AZ 85007
602-542-4661
Industrial Commission of Arizona

Workers compensation insurance is required by law for Arizona employers with one or more employees.

Arizona forms and applications such as owners inclusion or exclusion forms are sometimes updated by the state. Contact us if you need help or can't find the workers compensation form your need for Arizona.

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We've developed Target Programs with our insurance companies to help find you the right insurance product with lower rates.

Visit NCCI for more resources and information about workers' compensation class codes. Visit United States Department of Labor for more information about government agencies managing workers compensation insurance rates.
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