PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form Accounting ICA6613
for the current year.
Form Accounting ICA6613 Self-insured Hospital Report - Arizona
What Is Form Accounting ICA6613?
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 ICA6613 Self-insured Hospital Report?A: The purpose of the report is to provide financial information about self-insured hospitals in Arizona.
Q: What does ICA6613 stand for?A: ICA6613 is the name of the accounting form used for self-insured hospital reporting in Arizona.
Q: Who is required to submit the Accounting ICA6613 Self-insured Hospital Report?A: Self-insured hospitals in Arizona are required to submit this report.
Q: What kind of information is included in the report?A: The report includes financial information such as revenues, expenses, and balance sheet data for the self-insured hospital.
Q: Is the report only for hospitals located in Arizona?A: Yes, the report is specifically for self-insured hospitals in Arizona.
Q: When is the deadline for submitting the report?A: The deadline for submitting the report is typically on or before March 1st of each year.
Q: What happens if a self-insured hospital fails to submit the report on time?A: Failure to submit the report on time may result in penalties or fines for the hospital.
Q: Is the information in the report confidential?A: Yes, the information in the report is confidential and protected by state laws and regulations.
Q: Are there any fees associated with submitting the report?A: There are no fees required for submitting the report.
Form Details:
- Released on December 5, 2021;
- 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 Accounting ICA6613 by clicking the link below or browse more documents and templates provided by the Industrial Commission of Arizona.
