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Form SpecFunds ICA5525 Carrier's Notification of Scheduled Injury - Arizona
What Is Form SpecFunds ICA5525?
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 SpecFunds ICA5525?
A: Form SpecFunds ICA5525 is the Carrier's Notification of Scheduled Injury form in Arizona.
Q: Who needs to fill out Form SpecFunds ICA5525?
A: This form needs to be filled out by the carrier to notify the injured employee of their scheduled injury.
Q: What is the purpose of Form SpecFunds ICA5525?
A: The purpose of this form is to provide notice to the injured employee regarding the details of their scheduled injury.
Q: Is Form SpecFunds ICA5525 specific to Arizona?
A: Yes, this form is specific to the state of Arizona.
Q: Are there any other required forms related to workers' compensation in Arizona?
A: Yes, there are several other forms that may be required, such as the Employer's Report of Industrial Injury or Occupational Disease (ICA 15-100), the Employee's Report of Injury (ICA 15-118), and the Worker's and Physician's Report of Accident (ICA 25-99).
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 SpecFunds ICA5525 by clicking the link below or browse more documents and templates provided by the Industrial Commission of Arizona.
