This section provides additional instructions and answers to frequently asked questions about employee injury reporting and the workers' compensation claim process.
- For emergencies, call 9-1-1 for paramedic response and ambulance transportation to the nearest emergency room or trauma center.
- For non-emergency situations, injured employees may seek care at any of the following:
- UA Campus Health Service, Occupational Health Unit-First Aid ONLY
- FASTMED Ugent Care (Employee can use any FASTMED location)
- 2460 N Swan Rd., Suite 140 (Tucson, AZ 85712, 520-441-5405)
- 5594 E 22nd St. (Tucson, AZ 85711, 520-232-2047)
- 2510 E. Broadway Blvd. (Tucson, AZ 85716, 520-232-2072)
- 1895 W Valencia Rd, Suite 101 (Tucson, AZ 85746, 520-576-5104)
- 9175 E Tanque Verde Rd., Suite 187 (Tucson, AZ 85749, 520-407-5699)
- 7850 N. Silverbell Rd., Suite 132 (Marana, AZ 85743, 520-407-5884)
- Concentra Medical Centers
- 7119 E. Broadway Blvd (Tucson, AZ 85710, 520-881-0050)
- 4600 S. Park Ave., Suite 5 (Tucson, AZ 85714, 520-889-9574)
- 2005 W. Ruthrauff Rd., Suite 111 (Tucson, AZ 85705, 520-293-7250)
- 888 S. Craycroft Rd., St. Suite 150 (Tucson, AZ 85711, 520-747-0446)
- 2945 W. Ina Rd, Suite 103 (Tucson, AZ 85741, 520-289-8018)
- 2301 N. Forbes Blvd., Suite 111 (Tucson, AZ 85745, 520-628-4340)
- Sunnyside MediCenter – 3681 S. Palo Verde Rd. (Tucson, AZ 85714, 520-750-8855)
- Departments with operations outside the Tucson area are encouraged to plan ahead of an injury and identify appropriate injury treatment options in their immediate area. Treatment may be obtained at any urgent care center, occupational health clinic, hospital, or other healthcare provider.
- Tell the medical care provider that your injury is work related.
- Provide the treating physician with information about how the injury happened.
- The employee will fill out the top portion of a form called “Worker’s & Physician’s report of injury for the Industrial Commission of Arizona (102)” and the physician will complete the bottom portion and mail it out to the appropriate agencies.
The workers' compensation treating physician may give you a referral for physical therapy, radiology, other diagnostic exams, or to see a specialist. Please fax this referral to 602-382-2370. If you do not have access to a fax machine, you may send the referral to Anna Llamas at firstname.lastname@example.org. The State Risk Management utilization review will determine approval and contact the provider with authorization. This process generally takes 3-5 business days. If you do not hear from the provider regarding the appointment, please contact State Risk Management at 602-542-2182.
The State of Arizona, through the Arizona Department of Administration, Risk Management Division (ADOA-RMD) manages workers' compensation coverage for all state employees. ADOA-RMD is also referred to as State Risk Management.
SELF-INSURED PER ARS §41-621
Upon receipt of the supervisor report of injury/illness, UA RMS will forward to State Risk Manangement and a claim will be created for those injured employees who have received or are planning on seeking medical care. Notification of the claim's status (accepted or denied) is mailed to the injured employee's home address from State Risk Management. If the claim is accepted for benefits, the notification will provide the claim number and the name and contact info for the assigned claims representative. The claims representative monitors the medical status of the injured employee, and must authorize all medical treatment under the claim.
The name and contact information of the claims representative at State Risk Management is included with the notification of claim acceptance. You may also call their main number at (602) 542-2182.
- Call the treatment facility and tell them your injury was work related.
- Give the treatment facility your workers' compensation claim number and tell them to forward the bill to the following address:
Arizona Department of Administration
Risk Management Division, Workers' Compensation Unit
100 N. 15th Avenue, Suite 301
Phoenix, AZ 85007
Phone: (602) 542-2182 Fax: (602) 542-1490
- Tell your supervisor you have been taken off work.
- Provide a copy of the off-work slip from the doctor to your supervisor and to RMS.
- Ask the doctor if you are able to perform modified or restricted duty.
- Following prescribed treatment, medications, physical therapy to get well and back on the job as soon as possible.
- Avoid activities that might worsen your injury or slow your healing time. Examples might include work around the house, recreational activities, hobbies, sports, etc.
- If you have a second job, or other source of income, this must be disclosed to your claim representative.
- You may not leave Arizona for a period exceeding two weeks "while the necessity of having medical treatment continues, without the written approval of the Industrial Commission of Arizona."
Your treating physician must authorize your return to work and provide a written return to work status report. A copy must be provided to your supervisor, and to RMS. Your return to work may be with modified, restricted, or full duties, as directed by your physician.
If an employee is off work for seven or fewer calendar days for a work related injury, workers' compensation benefits for lost time are not applicable. Work absence must be reported in accordance with U of A policies for time reporting.
It depends. After a claim is accepted for benefits, the employee may choose to receive their workers' compensation benefits directly, and change to unpaid status in the U of A payroll system, or they may elect to use the Buy Back Program to stay in the U of A payroll system and maintain their U of A benefits.
The U of A allows eligible injured employees to stay on the U of A payroll, by reporting their absence as sick or vacation leave, and allowing their workers' compensation benefits to reimburse the employee's leave balance. To be eligible, employees must have a combined leave balance of 80 hours at the time of their injury. This arrangement allows U of A benefits such as health insurance and retirement contributions to continue without interruption. Employees must sign a Buy Back Authorization form (PDF format) to enroll in this program.
For any additional questions about Workers' Compensation, contact Anna Llamas at (520) 621-3626 or email@example.com.
If Anna is unavailable, please call the Risk Management Services front desk at (520) 621-1790 and we will find someone to assist you.
(Se habla español)