ICA Form 101 – Worker's Report of Injury
Initial form many Arizona workers use to report an on‑the‑job injury to the Industrial Commission of Arizona (ICA).
View ICA forms on the ICA websiteArizona Workers’ Comp Resource Center
Legal Resources for Injured Workers in Arizona
This resource center collects the most important Arizona workers' comp forms, state links, tools, and plain‑language guides in one place. Use it as a starting point when you're looking for Arizona workers' comp forms or other trusted information.
Forms Guide · ICA Paperwork
Not sure which Industrial Commission of Arizona forms you need? Our Arizona Workers' Comp Forms Guide walks you through the workers' compensation claim form, deadlines, and common paperwork mistakes.
Official State Forms & Links
These links connect you with the official Arizona workers' compensation agencies and statutes. Always confirm details on the state websites, as forms and rules can change.
ICA Form 104 – Request for Hearing
Form Arizona workers use to formally request a hearing before an Industrial Commission of Arizona Administrative Law Judge after a denial or other disputed decision.
View ICA forms on the ICA websiteArizona Revised Statutes – Title 23 (Labor)
The core Arizona labor and workers' compensation statutes, including many rules used in work injury claims.
Open Arizona legislature websiteIndustrial Commission of Arizona (ICA)
Main Arizona workers' compensation regulator. Their site includes forms, claim information, and policy updates.
Visit ICA websiteOmbudsman's Office for Injured Workers
The ombudsman can help answer general questions about workers' compensation procedures and worker rights in Arizona.
Find ombudsman contact informationTools & Calculators
These simple tools are not legal advice, but they can help you think about the value of your claim and your deadlines before you speak with a professional.
Compensation Estimator (Example)
Many Arizona workers' comp benefits are based on your average weekly wage (AWW). The table below shows how a weekly benefit might look at different wage levels using a simple 66⅔% estimate.
| Average Weekly Wage | Estimated Weekly Benefit (≈ 66⅔%) |
|---|---|
| $600 | $400 |
| $900 | $600 |
| $1,200 | $800 |
Actual Arizona workers' comp benefits are subject to statutory minimums, maximums, and other rules. Always confirm your numbers with the ICA or a lawyer.
Statute of Limitations Clock (Arizona)
In many Arizona workers' comp cases, you generally have one year from the date of injury or from when you reasonably should have known that your condition was work‑related to file a claim.
- • Report the injury to your employer as soon as possible.
- • Make sure a claim is filed with the ICA within the applicable deadline.
- • Deadlines can be complicated — missing them can bar your claim.
This summary is for general information only. Always verify the current statute of limitations for your specific situation.
Free Educational Guides
These guide concepts are designed to help Arizona workers understand specific situations that commonly come up in workers' compensation claims.
What to Do If Your Claim Is Denied
Step‑by‑step outline of how Arizona workers can respond when a claim is denied, including deadlines and appeal options.
Downloadable Arizona Work Injury Checklist (PDF) — coming soon.Understanding IME (Independent Medical Exams)
Plain‑language explanation of what an IME is, who selects the doctor, and how to prepare for an insurance‑requested exam.
Guide article and checklist planned for this section.Arizona Disability Ratings Explained
Overview of how doctors evaluate permanent impairment and disability ratings, and why those percentages can affect settlement value.
Future guide will connect directly with the medical topics in Find a Doctor.Workers’ Comp Dictionary – Key Arizona Terms
A quick reference for common workers' comp abbreviations and terms you may see in letters from the insurance company or ICA.
- TPD – Temporary Partial Disability
- Benefits paid when you can work in some limited capacity but earn less than you did before the injury.
- PPD – Permanent Partial Disability
- Compensation related to a permanent loss of function or impairment, even if you can still work in some form.
- Bad Faith Claim
- A separate legal claim that may arise when an insurance company unreasonably delays, denies, or mishandles workers' comp benefits.
Still Have Questions?
Still have questions about your specific case? Get a free professional review.
Every Arizona work injury is different. A short conversation can help you understand which of these resources matter most in your situation.