Workers' Compensation Forms
Complete collection of workers' compensation forms for Arizona contractors. From exemptions to claims, get all the documentation you need for compliance and protection.
Quick Downloads
Arizona FROI Form
First Report of Injury - Required for all workplace injuries
PDFEmployer Incident Report
Internal documentation of workplace incidents
PDFROC Exemption Package
Complete set of exemption forms with instructions
ZIPReturn to Work Kit
Forms for transitional duty programs
PDFImportant: Time-Sensitive Requirements
Injury Reporting: Arizona law requires workplace injuries to be reported within 24 hours to your workers' compensation carrier. Delays can result in claim denials.
Form Accuracy: All forms must be completed accurately and submitted to appropriate agencies. Incorrect or incomplete forms can delay benefits and cause compliance issues.
Workers' Compensation Form Categories
Organized by purpose and urgency. Each category contains the essential forms you need for proper workers' compensation management and compliance.
Exemption Forms
Official Arizona ROC exemption forms for business owners
Available Forms:
- ROC Form 6A - Sole Proprietor Exemption
- ROC Form 6B - Corporate Officer Exemption
- ROC Form 6C - Partnership Exemption
- ROC Form 6D - LLC Member Exemption
Claims Forms
Forms needed to file and manage workers compensation claims
Available Forms:
- First Report of Injury (FROI)
- Workers' Compensation Claim Form
- Medical Provider Report
- Wage Statement for Claims
Injury Reporting
Required forms for reporting workplace injuries and incidents
Available Forms:
- Employer's Incident Report
- Employee Injury Report
- Witness Statement Form
- Supervisor's Accident Investigation
Return to Work
Documentation for transitional duty and return to work programs
Available Forms:
- Return to Work Authorization
- Light Duty Job Description
- Transitional Work Program
- Medical Release to Return
Workers' Compensation Claims Forms
Essential forms for filing and managing workers' compensation claims in Arizona.
First Report of Injury
Required within 24 hours of workplace injury
Claim Form
Employee workers' comp claim application
Medical Provider Report
For healthcare providers treating injured workers
Wage Statement
Employee wage verification for claim benefits
Injury Reporting Forms
Critical forms for documenting and investigating workplace injuries and incidents.
Immediate Reporting (0-24 Hours)
Employer's Incident Report
Complete immediately after any workplace incident
Employee Injury Report
Injured employee's account of the incident
Investigation & Documentation
Witness Statement Form
For collecting witness accounts of the incident
Supervisor's Investigation
Detailed investigation and root cause analysis
Return to Work Forms
Forms for managing transitional duty and return to work programs for injured employees.
Medical Authorization
Doctor's clearance to return to work
Light Duty Description
Job descriptions for modified work assignments
Transitional Program
Structured return to work program documentation
Progress Tracking
Weekly progress reports and assessments
Need Help with Workers' Compensation Forms?
Our experienced team can help you understand form requirements, ensure proper completion, and navigate the workers' compensation process effectively.
Form Completion Help
Get assistance completing forms correctly to avoid delays and ensure compliance with all requirements.
Get Form HelpClaims Management
Expert guidance through the claims process from injury reporting to claim resolution and return to work.
Call for Claims HelpPolicy Review
Review your workers' compensation policy and ensure you have the right coverage for your business needs.
Get Policy ReviewQuestions About Workers' Compensation Forms?
Our licensed insurance professionals can help you navigate form requirements, ensure proper completion, and manage your workers' compensation needs effectively.
Licensed professionals • Arizona specialists • 20+ years experience