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Notice of Claim Form

Document Type
Other
Notice of Claim Form revised 10_2020 - AG ONLY website.pdf
Official Seal of the State of Arizona

Contact

ADOA Risk Management
Mailing Address:                                    
1802 W. Jackson Street #93                   
Phoenix, AZ 85007
Physical Address:
100 N. 15th Avenue, Suite 301
Phoenix, AZ 85007
Phone:
(602) 542- 2182
Workers Comp payment requests send to:
Corvel Corporation PO Box 6966 Portland, OR 97228 Billing Phone: 602-288-2020 Billing Fax: 866-523-5641

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