Industrial Commission of Arizona Forms

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Documents:

104

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This form is used for pre-screening applicants for the Vpp & C-Vpp program in Arizona.

This form is used for requesting compliance assistance in the state of Arizona. It allows individuals or businesses to seek guidance or clarification on regulatory requirements.

This form is used for requesting an Ica Community Administrator Account in Arizona.

This Form is used for requesting a consultation survey with the Arizona Division of Occupational Safety and Health (ADOSH).

This document is an application for the Safety & Health Achievement Recognition Program in the state of Arizona. This program recognizes businesses that have achieved excellence in workplace safety and health.

This form is used for filing an unpaid wage claim in Arizona. It allows workers to request compensation for wages that have not been paid by their employer.

This form is used for filing a minimum wage claim in the state of Arizona.

This Form is used for filing a claim for earned paid sick time in Arizona. You can use this form if you have accrued sick time and need to request payment for the time taken off due to illness.

This form is used for filing a complaint regarding youth labor in Arizona.

This form is used for filing a minimum wage retaliation claim in Arizona. Please note that this specific form is known as Labor_3307 Epst.

This form is used for filing a payment compliance complaint related to labor issues in Arizona. It allows individuals to report any violations of wage and hour laws by their employers.

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