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Self-Insurance Quarterly Tax Forms

Administrative Support Division

Self-Insurance Section
Phone: (602) 542-1839

To Access Forms or Instructions, Click on a Link Below.

 

2016 Self-Insured Quarterly Tax Form (Admin & Special Fund) (Excel)

2015 Self-Insured Quarterly Tax Form (Admin & Special Fund) (Excel)

2014 Self-Insured Quarterly Tax Form (Admin & Special Fund) (Excel)

2013 Self-Insured Quarterly Tax Form (Admin & Special Fund) (Excel)

2012 Self-Insured Quarterly Tax Form (Admin & Special Fund) (PDF)

2011 Self-Insured Quarterly Tax Form (Admin & Special Fund) (PDF)

2011 Self-Insured Quarterly Tax Form Information (Admin & Special Fund) (PDF)

2010 Self-Insured Administrative Fund Quarterly Tax Form (PDF)

2010 Self-Insured Administrative Fund Quarterly Tax Form Information (PDF)

2010 Self-Insured Special Fund Quarterly Tax Form (PDF)

2010 Self-Insured Special Fund Quarterly Tax Form Information (PDF)