SCF PREMIER

Information & Forms

You can download many of SCF Premier’s safety brochures, policy pamphlets, posters, annual reports and forms policyholders and injured workers need.

To apply for workers’ compensation insurance from SCF Premier, or contact Sales Executive Justin Bro at 602.631.2022 or jbro@scafz.com.
SCF Premier is ready to serve you from 8 a.m. to 5 p.m., Monday through Friday.

Don't miss our next safety event. Click here to register for a Safety Works Expo, or here to see our list of free seminars.

Download form to order workplace safety materials.

Looking for the 'Little Blue Book' or the 'Little Green Book'? This form, the Supervisor's Report of Injury (64-100 and 64-100S), is not downloadable. Please use our order form.

DOWNLOADABLE FORMS
Attending Dentist Estimate and Billing Statement (Form 41-120)
Policyholder Change of Address (Form 61-301)
Employer’s Report of Industrial Injury (Form 101)
Instructions for Completion of Employer’s Report of Injury (Form 101i)
Report of Significant Work Exposure to Bodily Fluids (Form 61-261)
Unpaid Bill Inquiry (Form 41-489)
Worker’s Annual Report of Income (Form 41-110a)
Workers’ Report of Injury (Form 41-407)

BROCHURES
13 steps in Controlling your WC Costs
Association Safety Program
Benefits Guide
Early Return to Work
Guide to Workers’ Comp
Report an Injury
You and the PCN
You and Your E-mod
Your Payroll Report
Managing Claims - this brochure is being updated and will be available soon for download

POSTERS
AZ Workers’ Compensation Law
Work exposure to Bodily Fluids

*New* Work Exposure to MRSA, Spinal Meningitis, or TB

HELPFUL RESOURCES
Find your legislator
Industrial Commission of Arizona
Preferred Connection Network
Provider Operating Guidelines
Recent Publications (AZ@Work, MedPro, and Safety Pays)
Workplace Safety and Health
Your Guide to Workers' Compensation

For links to members of the SCF Arizona Association Safety Program, click here.