5873
This form is used for filing a statement of division in the state of Arizona.
This form is used for qualifying newspapers in the state of Arizona. It is necessary for newspapers to complete this form to be eligible for certain benefits or privileges.
This document is used for filing a statement of domestication in the state of Arizona. It is a formal declaration of a business entity's decision to transfer its domicile to Arizona.
This form is used for filing a statement of merger in the state of Arizona.
This Form is used for resigning as a statutory agent in the state of Arizona. It provides instructions and guidance on the process of submitting a resignation and any required documentation.
This form is used for filing a statement of conversion in Arizona. It is used when an entity is converting from one type of business entity to another.
This Form is used for requesting records in the state of Arizona.
This Form is used for applying to become a special inspector in the state of Arizona.
This Form is used for renewing a special boiler inspector license in the state of Arizona.
This Form is used for applying for a variance in the state of Arizona.
This form is used for self-providers of medical benefits in Arizona. It is also known as the Accounting ICA6621 form.
This form is used for reporting workers' compensation liability in Arizona for accounting purposes.
This form is used for submitting workers' compensation documents to the relevant authorities in Arizona. It is specifically designed for individuals or organizations who are considered interested parties in a workers' compensation case.
This Form is used for self-insured companies in Arizona to notify termination of their self-insurance status.
This Form is used for ordering the Adosh Standards Book in Arizona. It is used to request a copy of the book that contains safety and health standards for the workplace.
This Form is used for reporting serious events in the state of Arizona to ADOSH (Arizona Division of Occupational Safety and Health).
This form is used for applying for a permit to install or make alterations to elevators, dumbwaiters, escalators, and other similar equipment in Arizona. It is required under the Arizona Elevator Act - a.r.s Title 23, Chapter 2, Article 12.
This form is used for requesting inspection of a non-weld alteration or repair of a boiler or fired pressure vessel in Arizona.
This form is used for requesting training through the Arizona Division of Occupational Safety and Health (ADOSH).
This form is used for requesting a hearing in the state of Arizona.
This Form is used for requesting permission to leave the state of Arizona. It is necessary for individuals who need to travel outside of Arizona and require authorization from the appropriate authorities.
This form is used for requesting a change in doctors in Arizona. It is used to submit a formal request to switch primary care physicians or specialists.
This Form is used for workers in Arizona to report an injury that occurred while on the job.
This type of document is used to notify individuals in Arizona about a pending suspension of their claims.
This document is used for providing notice of a professional employer agreement in Arizona.
This Form is used for employers in Arizona to report industrial injuries suffered by their employees.
This Form is used for employees in Arizona to notify their employer of their rejection of the terms of the Arizona Workers' Compensation Law.
This form is used for reporting significant work exposure to bodily fluids or other infectious material in the state of Arizona. It helps employers and employees to document and address potential health risks in the workplace.
This Form is used for filing a petition in Arizona to rearrange or readjust compensation.
This form is used for an employee to revoke their rejection of the terms of the Arizona Workers' Compensation Law in Arizona.
This form is used for filing a petition to reopen a case in Arizona based on new, additional, or previously undiscovered disability or condition.
This form is used for filing a complaint against an employer in Arizona who does not have workers' compensation insurance.
This form is used for businesses in Arizona to apply for authority to self-insure their accounting matters.
This Form is used for filing a public complaint regarding labor issues in Arizona.
This form is used for Arizona workers to report their annual income. It is used for claiming worker's compensation benefits.
This Form is used for companies in Arizona to apply for authority to self-insure their workers' compensation liabilities under Arizona Revised Statutes 23-961.01.