Employer's Compliance With Workers' Compensation Law Poster - Arizona (English / Spanish)
Form EE-1 Worker's Claim for Benefits Under the Energy Employees Occupational Illness Compensation Program Act
IRS Form 14581-G Employee or Independent Contractor Compliance Self-assessment for Public Employers
Form Legal ICA4403 Employers' Workers' Compensation Insurance Inquiry Response Form - Arizona
Form Claims ICA0113 Employee's Notice of Rejection of Terms of the Arizona Workers' Compensation Law - Arizona
Form Claims ICA0114 Employee's Notice to Revoke Rejection of Terms of the Arizona Workers' Compensation Law - Arizona
IRS Form 14568-F Model Vcp Compliance Statement - Schedule 6 Employer Eligibility Failure (401(K) and 403(B) Plans Only)
IRS Form 14581-A Fringe Benefits Compliance Self-assessment for Public Employers
IRS Form 14581-D Other Tax Issues Compliance Self-assessment for Public Employers
IRS Form 14581-C Medicare Coverage Compliance Self-assessment for State and Local Government Employers
IRS Form 14568-F Schedule 6 Model Vcp Compliance Statement - Employer Eligibility Failure (401(K) and 403(B) Plans Only)
IRS Form 14581-B International Issues Compliance Self-assessment for Public Employers
Form SSA-546 Workers Compensation/Public Disability Benefit Questionnaire
Form Accounting ICA6620 Workers' Compensation Liability Form - Arizona
Interested Party Workers' Compensation Document Submission Form - Arizona
AF Form 784 USAF Nonappropriated Fund Workers' Compensation Record
AF IMT Form 785 Earnings Statement (USAF Non-appropriated Fund Workers Compensation Program)
Naic Loss Cost Filing Document - Other Than Workers' Compensation Calculation of Company Loss Cost Multiplier
Naic Loss Cost Filing Document - Workers' Compensation Calculation of Company Loss Cost Multiplier
AF Form 785 Earnings Statement (USAF Nonappropriated Fund Workers Compensation Program)
Form ICA NI Worker's Supplemental Claim for Compensation - Arizona
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