Earned Paid Sick Time Claim Form - Arizona

Earned Paid Sick Time Claim Form - Arizona

Earned Paid Sick Time Claim Form is a legal document that was released by the Industrial Commission of Arizona - a government authority operating within Arizona.

FAQ

Q: What is the Earned Paid Sick Time Claim Form?
A: The Earned Paid Sick Time Claim Form is a document used in Arizona to request compensation for earned paid sick time.

Q: Who can use the Earned Paid Sick Time Claim Form?
A: Any employee in Arizona who has accrued paid sick time and wants to be compensated for unused sick time can use this form.

Q: What information do I need to provide on the Earned Paid Sick Time Claim Form?
A: You will need to provide your personal information, the number of hours of unused sick time, and the dates you are claiming.

Q: How long do I have to submit the Earned Paid Sick Time Claim Form?
A: You must submit the form within 180 days of the claimed sick time or within 90 days of your last day of employment, whichever is later.

Q: What happens after I submit the Earned Paid Sick Time Claim Form?
A: After submitting the form, your employer has 10 days to review and respond to your claim. If they do not respond or deny your claim, you can file a complaint with the Arizona Industrial Commission.

Q: How will I be compensated for my unused sick time?
A: If your claim is approved, your employer is required to pay you at your regular hourly rate for the unused sick time.

Q: Can my employer retaliate against me for filing an Earned Paid Sick Time Claim Form?
A: No, it is illegal for your employer to retaliate against you for filing a claim for earned paid sick time.

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Form Details:

  • Released on June 1, 2020;
  • The latest edition currently provided by the Industrial Commission of Arizona;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Industrial Commission of Arizona.

Download Earned Paid Sick Time Claim Form - Arizona

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