Ariz. Admin. Code § R20-5-134 - Petition for Rearrangement or Readjustment of Compensation Based upon Increase or Reduction of Earning Capacity
A. A petition for rearrangement or
readjustment of compensation filed with the Commission under A.R.S. §
23-1044(F) shall be in writing. A form is available
from the Commission upon request.
B. A party or a party's authorized
representative shall sign a petition for rearrangement or readjustment and
include in the petition:
1. A statement of
the basis upon which the rearrangement or readjustment of compensation is
sought, and
2. Documentation in
support of the petition.
C. The petition shall be signed by the
employee or the employee's authorized representative, the employer, or, in the
case of an insurance carrier, by its authorized representative, and shall
include a statement of the basis upon which the rearrangement of compensation
is sought accompanied by supportive documentary evidence.
D. If a self-insured employer, carrier,
special fund division, or uninsured employer requests a hearing protesting the
Commission's determination under A.R.S. §
23-1044(F) and the claimant resides outside of Arizona,
the Commission may order the self-insured employer, carrier, special fund
division, or uninsured employer to pay the claimant's transportation and living
expenses to attend any scheduled hearing.
Notes
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