How do I file a claim for workers' compensation in Arizona?

Filing a Claim for Arizona Workers' Compensation: A Step-by-Step Guide

In Arizona, workers' compensation is a "no fault" system that provides medical and indemnity benefits to employees who suffer job-related injuries or illnesses. This system is overseen by the Industrial Commission of Arizona (ICA). This guide outlines the essential steps involved in filing a workers' compensation claim in Arizona.

1. Report the Injury to Your Employer

• The first step is to promptly report your injury or illness to your supervisor or employer. This notification should be done as soon as possible after the injury occurs.

• The law requires employers to report the injury to their insurance carrier and the ICA within ten days of receiving notification.

• Failure to report the injury promptly can jeopardize your right to benefits.

2. Seek Medical Treatment

• Inform the treating physician that your injury or illness is work-related.

• You have the right to select a healthcare provider of your choice, unless you work for a private self-insured employer, in which case the employer may direct your initial medical care.

• The physician should complete the Worker's and Physician's Report of Injury (Form 102), also known as the "Pink Form".

• If the physician does not provide the Form 102, you can complete a Worker's Report of Injury (Form 407) yourself. Forms are available at the ICA offices and online at www.azica.gov.

3. File Your Claim with the ICA

• Submitting a completed Form 102 or Form 407 to the ICA constitutes the legal filing of your workers' compensation claim. You can file your claim online, by mail, or in person at one of the ICA offices in Phoenix or Tucson.

• You must file your claim within one year of the date of injury or from the date you knew or should have known that the injury or illness was related to your employment.

4. The Carrier's Response

• Once the ICA receives your claim, they will notify the insurance carrier. The carrier has 21 days to either accept or deny the claim.

• If the claim is accepted, the carrier will begin paying for medical treatment and temporary disability benefits if you are unable to work.

• If the carrier denies the claim, you have the right to request a hearing with the ICA to contest the denial.

5. Contact the Ombudsman for Assistance

• The ICA Ombudsman's office provides information and guidance about the workers' compensation system and the hearing process, but they cannot provide legal advice.

• You can reach the Ombudsman by phone at (602) 542-4538 

6. Consider Legal Representation

• Workers' compensation cases can be complex, and it is often advisable to seek legal representation from an attorney specializing in workers' compensation.

• An attorney can help protect your rights, ensure your claim is handled properly, and advocate for your best interests.

Remember, the workers' compensation system is designed to protect employees injured on the job. By understanding the process and your rights, you can navigate the system successfully and secure the benefits you deserve.