State of Arizona Forms in Word

Form No.	Form Title	Price	Buy Now
A-4	Employee’s Arizona Witholding Percentage Election (ADOR 91-0041)	$12.99
	Arizona New Hire Reporting Form	$12.99

Arizona Worker’s Compensation Forms in Word

Links are to State of Arizona Pages and Free PDFs	Price	Buy Now
• ICA 04-0407 Worker’s Report of Injury – File a Claim under Workers’ Compensation	$12.99
• Petition to Reopen a Claim	$12.99
• Petition to Rearrange or Readjust Compensation	$12.99
• Request to Change Doctors	$12.99
• Request to Leave the State	$12.99
• Request a Hearing	$12.99
• Request Dependents’ Benefits (in Case of a Worker’s Fatality)	$12.99
• File a Report of Injury (If You Are an Employer)	$12.99
• File a Report of Injury (If You Are a Worker)	$12.99
• File a Worker’s Rejection of Terms of Az Workers’ Compensation	$12.99
• File a Worker’s Revocation of Rejection of Terms of Az Workers’ Compensation	$12.99
• File a Professional Employer Organization (PEO) Agreement	$12.99
• File a Sole Proprietor / Independent Contractor Statement	$12.99
• Read About Significant Exposure to Bodily Fluids. Get Form and Posters.	$12.99
Obtain Posters [ What posters are employers required to post? ]	N/A	N/A
• Workers’ Compensation Law Compliance/La ley de Compensación para las Trabajadores	$12.99
• Work Exposure to Bodily Fluids (HIV, AIDS, Hepatitis "C")	$12.99
• Work Exposure to MRSA, Spinal Meningitis, and Tuberculosis (TB)	$12.99
Obtain information only (not including forms or posters) about . . .	N/A	N/A
• Gradual Injury	$12.99
• Independent Medical Evaluations	$12.99
• Loss of Job	$12.99
• Permanent Impairment or Loss of Earning Capacity	$12.99
• Permanent Loss of Teeth	$12.99
• Facial Disfigurement	$12.99
• Uninsured Employers	$12.99
• Vocational Rehabilitation ("Voc Rehab" )	$12.99
• Suspension of a Claim	$12.99
• Claims Division Annual Processing Statistics	$12.99
• Average Monthly Wage Statutory Maximum	$12.99
• How to Designate a Third-Party Administrator (TPA)	$12.99
• How to Search for an Employer’s Workers’ Compensation Insurance Coverage	$12.99
• Authorized Self-Insurance Companies (Table)	$12.99
• Self-Insured Employers That Direct Medical Care (Table)	$12.99