Protection of life, health, safety, and welfare of Arizona’s most valuable assets





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2014 Wage Info
•  AMW Statutory Max - $4,256.94

•  Arizona Minimum Wage - $7.90

•  Get Info:2014 Az Minimum Wage
•  Get Info:2014 Az AMW Max

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Claims Division
Petition to Rearrange or Readjust Compensation

Kathleen McLeod, Claims Manager
Email: claims@ica.state.az.us
Phoenix: 800 W Washington St, Phoenix AZ 85007 - Phone: (602) 542-4661
Tucson: 2675 East Broadway, Tucson AZ 85716 - Phone: (520) 628-5181
FAX (use for either office): (602) 542-3373

Click for Phone List of ICA Divisions


Petition to Rearrange or Readjust Compensation

Click here to download form :     Petition to Rearrange or Readjust Compensation (PDF)

If you are an injured worker with an unscheduled injury , then under certain circumstances, you can file a petition to rearrange or readjust compensation. If you have questions regarding this, please contact the Claims Division at (602) 542-4661 and ask to speak to an Awards Specialist.

IMPORTANT: The completed form must be filed at an Industrial Commission of Arizona (ICA) office.