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Summit Group Photo

Workers' Compensation Forms

FOR THE INJURED WORKER:

Worker's Report of Injury (407 Form)

Injured Worker's Info Sheet


FOR THE EMPLOYER:


(Only ONE of these forms is required

Quick Report (Form 100)

Employer's Report (Form 101)


Information Packet Presentation PowerPoint


CONTACT

Summit Inc.

PO Box 25160
Scottsdale AZ 85255-0102
Phone: 1-800-879-8500
Fax: 480-505-0407

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