Injured Worker

ICA Community

ICA Community

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To access claim information and easily check the status of a claim, an account in the ICA Community is needed.

New Users:
Request Access to Portal and Claim/ALJ file part 1
Request Access to Portal and Claim/ALJ file part 2

Existing Users:
Request Access to Claim for Existing User
Request Access to Claim/ALJ File for Existing User
Document Viewing, Save to Zip, and PDF Merge
Carrier/Self-Insured TPA - Online Form Submission

Advance Features:
Uploading Documents
Hearing Calendar
Online Form Submission

New Claims/ALJ System FAQs

Community Guide - Public Webforms (PDF)
Community Guide - Applicant Webforms (PDF)

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Workers' Compensation Information

Workers' Compensation Handbook
Workers' Compensation Statutes -
(Title 23, Chapter 6)
Workers' Compensation Administrative Rules
(Title 20, Chapter 5)

OnlineForms

Forms

Worker's Report of Injury Form - 407
Formulario de informe de lesión del trabajador - 407
Petition to Reopen - 528
Request for Hearing Form - 446
Request to Change Doctor - 121
Dependent Benefits Claim Form - 120
Request to Leave State Form - 122
Bodily Fluids Work Exposure Form - 124

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Agency Resources

Ombudsman
Hearing Division
MRO
Vocational Rehab

helpful

Helpful Links

Authorized Self Insurers
Workers' Compensation Coverage Verification
Present Value Tables

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Definitions

Suspension of a Claim
Exposure to Bodily Fluids
Independent Medical Evaluations
Uninsured Employers
Loss of Earning Capacity
Loss of Job
Gradual Injury
Sole Proprietor/Independent Contractor

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