An Arizona Request for Hearing — Workers Compensation is a form that employees in the state can use to initiate a formal hearing with the Industrial Commission of Arizona (ICA) regarding an injury or illness they have sustained at work. This type of request is typically used when an employee has been denied workers' compensation benefits, or when an employee and employer cannot agree on the amount of benefits due to the employee. The two types of Arizona Request for Hearing — Workers Compensation are: 1. Request for Hearing 2. Request for Medical Evaluation. A Request for Hearing is a form that can be used to initiate the appeal process for denied workers' compensation benefits. This form must be completed and filed with the ICA. It must include the details of the injury, the claimed benefits, the date of the incident, and the reasons for the request. A Request for Medical Evaluation is a form that can be used to request an independent medical evaluation of an injury or illness. This form must also be completed and filed with the ICA. It must include the details of the injury, the date of the incident, the employee's current medical condition, and the employee's symptoms. Both of these forms must be completed and filed with the ICA within 60 days of the date of the injury or illness.