Form Claims ICA0407 Worker's Report of Injury - Arizona

What Is Form Claims ICA0407?

This is a legal form that was released by the Industrial Commission of Arizona - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the ICA0407 form?
A: The ICA0407 form is a Worker's Report of Injury form.

Q: Who needs to fill out the ICA0407 form?
A: The form needs to be filled out by a worker who has suffered an injury in Arizona.

Q: What information is required on the ICA0407 form?
A: The form requires information such as the worker's personal details, details about the injury, and information about the employer.

Q: When should the ICA0407 form be submitted?
A: The form should be submitted as soon as possible after the injury occurs, preferably within 10 days.

Q: What happens after the ICA0407 form is submitted?
A: Once the form is submitted, the Arizona Industrial Commission will review the information and may begin processing a workers' compensation claim.

Q: Is it mandatory to fill out the ICA0407 form?
A: Yes, it is mandatory for workers in Arizona to fill out the ICA0407 form if they have suffered an injury on the job.