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Form Claims ICA0114 Employee's Notice to Revoke Rejection of Terms of the Arizona Workers' Compensation Law - Arizona
What Is Form Claims ICA0114?
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 Form Claims ICA0114?
A: Form Claims ICA0114 is an employee's notice to revoke rejection of the terms of the Arizona Workers' Compensation Law in Arizona.
Q: What is the purpose of Form Claims ICA0114?
A: The purpose of Form Claims ICA0114 is for employees to revoke their previous rejection of the terms of the Arizona Workers' Compensation Law.
Q: Who should use Form Claims ICA0114?
A: Employees in Arizona who previously rejected the terms of the Arizona Workers' Compensation Law should use Form Claims ICA0114 to revoke that rejection.
Q: Are there any deadlines for submitting Form Claims ICA0114?
A: Specific deadlines for submitting Form Claims ICA0114 may vary. It is recommended to consult the appropriate authorities or your employer for the deadline.
Q: What are the consequences of submitting Form Claims ICA0114?
A: By submitting Form Claims ICA0114, employees are revoking their rejection of the terms of the Arizona Workers' Compensation Law, and they will be eligible for workers' compensation benefits in case of work-related injuries or illnesses.
Form Details:
- Released on August 1, 2016;
- The latest edition provided by the Industrial Commission of Arizona;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form Claims ICA0114 by clicking the link below or browse more documents and templates provided by the Industrial Commission of Arizona.
