Last updated: 11/26/2025
Petition For Rearrangement Or Readjustment Of Compensation {ICA 0529}
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Description
ICA 0529 - PETITION FOR REARRANGEMENT OR READJUSTMENT OF COMPENSATION. This form is used by injured workers or insurance carriers to request a modification of workers’ compensation benefits through the Industrial Commission of Arizona (ICA). This form allows petitioners to provide details about employment history, income, medical treatment, and any new accidents or illnesses since the claim was closed. It is typically filed when there has been a change in the worker’s earning capacity or medical condition affecting compensation eligibility. The form must be signed by the petitioner or authorized representative and submitted to the ICA offices in Phoenix or Tucson for processing. www.FormsWorkflow.com
