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Prospective Customers

Policyholders Healthcare Providers

INJURED WORKERS

Download the Low-Down

Do you need to download forms, brochures or locate a website? Click on the appropriate link below.

Downloadable Forms
Worker’s Annual Report of Income (Form 41-110a)
Workers’ Report of Injury (Form 41-407)
Change of Address Form (Form 41-467)
Report of Significant Work Exposure to Bodily Fluids (Form 61-261)


Brochures
Reporting an Injury
Benefits Guide


Helpful resources
SCF's Preferred Connection Network  - healthcare provider directory
Industrial Commission of Arizona

Not finding what you need? Check our general resources page.