Ariz. Admin. Code § R20-5-109
If an employee dies as a result of an injury by accident arising out of and in the course of employment, the employer shall report the death to the Commission’s claims division no later than the next business day following the death. The report shall state the name of the employee, when, how, and where the accident occurred, and the nature of the condition causing the accident. This Section does not limit or affect an employer’s duty to report a death to the Arizona Division of Occupational Safety and Health of the Commission as required under R20-5-629.
Former Rule 9. Amended effective March 1, 1987, filed February 26, 1987 (Supp. 87-1). R20-5-109 recodified from R4-13-109 (Supp. 95-1). Amended by final rulemaking at 7 A.A.R. 3966 and 7 A.A.R. 4995, effective August 17, 2001 (Supp. 01-3). Section R20-5-109 renumbered to R20-5-224; new Section R20-5-109 renumbered from R20-5-110 and amended by final rulemaking at 31 A.A.R. 4199 (October 31, 2025), effective December 6, 2025 (Supp. 25-4).