Form Accounting ICA6624 Initial Application for Authority to Self-insure Under a.r.s. 23-961.01 - Arizona

What Is Form Accounting ICA6624?

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 purpose of the Accounting ICA6624 form?
A: The form is used for an initial application for authority to self-insure under a.r.s. 23-961.01 in Arizona.

Q: Who needs to fill out this form?
A: Any entity or employer in Arizona seeking authority to self-insure for workers' compensation.

Q: Is there a fee associated with this application?
A: Yes, there is a non-refundable application fee for submitting the Accounting ICA6624 form.

Q: What other documents may be required with this form?
A: Additional documents such as financial statements, security deposit information, and proof of coverage may be required depending on the specific circumstances.

Q: How long does it take to process this application?
A: The processing time for an initial application for self-insurance authority can vary, but it typically takes several weeks.

Q: What happens after the application is approved?
A: If the application is approved, the entity or employer will be granted authority to self-insure for workers' compensation in Arizona.

Q: What if the application is denied?
A: If the application is denied, the entity or employer may seek other options for workers' compensation coverage, such as purchasing insurance from a licensed insurer.