POLICYHOLDERS
Download the Low-Down
Do you need to download forms, order safety materials or locate a website? Click on the appropriate link to locate the information you need.
Downloadable Forms
Employer’s Report of Industrial Injury (Form 101)
Instructions for Completion of Employer’s Report of Injury (Form 101i)
Attending Dentist’s Estimate & Billing Statement (Form
120)
Report of Significant Work Exposure to Bodily Fluids (Form
261)
Informational Materials
Report an Injury brochure
Association Safety Program brochure
You and the PCN brochure
Early Return to Work brochure
13 steps in Controlling your WC Costs brochure
You and Your E-mod brochure
Guide to Workers’ Comp brochure
Your Payroll Report brochure
Benefits Guide brochure
AZ Workers’ Compensation Law Poster
Work exposure to Bodily Fluids Poster
Managing Claims brochure - this brochure is being updated and will be available for download soon
Workplace Safety and Health
Trade and Business Associations
Find your legislator
