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.

Official State Forms

Always Current

ROC Compliant

Browse All Forms Call: 844-WORK-247

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Arizona FROI Form

First Report of Injury - Required for all workplace injuries

PDF

Employer Incident Report

Internal documentation of workplace incidents

PDF

ROC Exemption Package

Complete set of exemption forms with instructions

ZIP

Return to Work Kit

Forms for transitional duty programs

PDF

Important: 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

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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

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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

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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

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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.

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Claims Management

Expert guidance through the claims process from injury reporting to claim resolution and return to work.

Call for Claims Help

Policy Review

Review your workers' compensation policy and ensure you have the right coverage for your business needs.

Get Policy Review

Questions About Workers' Compensation Forms?

Our licensed insurance professionals can help you navigate form requirements, ensure proper completion, and manage your workers' compensation needs effectively.

Call: 844-WORK-247 Get Expert Help

Licensed professionals • Arizona specialists • 20+ years experience

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Important: 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.