This form is a case information progress report which details the status of the file.
Arizona Personal Injury Progress Report
State:
Multi-State
Control #:
US-PI-0233
Format:
Word;
Rich Text
Instant download
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Public form
Description
How to fill out Personal Injury Progress Report?
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FAQ
Workers' comp waiting periods by state StateWaiting period to receive workers' compArizona7 daysArkansas7 daysCalifornia3 daysColorado3 shifts of work48 more rows ?
§ 23-908(A) within eight days after first providing treatment to an injured worker. The physician shall report the injury: 1. Using Commission form 102 (worker's and physician's report of injury), or 2. Attaching to form 102 a medical report that contains the information required in form 102.
A claim is made either by filling out and signing a Worker's and Physician's Report of Injury at the doctor's office or by obtaining a Worker's Report of Injury (use download link directly above to obtain report form) from the ICA, and filing either report with the ICA. Both of these reports constitute a "claim form."
Reporting the workplace injury to your supervisor: There's no specific deadline for reporting a work-related injury to your employer other than the one-year deadline for filing a claim. However, you should generally report an injury as soon as possible.
Even though the workers' compensation system in Arizona typically prevents an injured worker from filing a lawsuit against an employer, there may be times when it is possible for the worker to file a civil personal injury lawsuit. This includes situations where: The employer caused intentional harm.
The employer is required to file an Employer's First Report of Injury or Illness [DWC FORM-001 Rev. 10/05] with the injured worker's insurance carrier, and the injured claimant or the claimant's representative within 8 days after the employee's absence from work or receipt of notice of occupational disease.
A claim is made either by filling out and signing a Worker's and Physician's Report of Injury at the doctor's office or by obtaining a Worker's Report of Injury (use download link directly above to obtain report form) from the ICA, and filing either report with the ICA. Both of these reports constitute a "claim form."