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REQUEST for HEARING CONTESTED CLAIM Pursuant to N Form

REQUEST for HEARING CONTESTED CLAIM Pursuant to N Form

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foreign you may request a hearing by letter or you can use the commission's request for hearing form which can be obtained online by mail or at the commission no fee is required fill out the form completely list the reasons you want a hearing be sure to list your correct address and telephone number if you are not fluent in English request an interpreter listing the language you speak your request for hearing must be received at the commission on or before the deadline date in the hearing process you are the applicant your employer and its insurance company are the defendants you are all parties to the claim your request for hearing will be assigned to an administrative law judge also known as the alj the judge is employed by the commission and state of Arizona he or she does not work for you or the other parties and is neutral the judge will determine the facts and decide the outcome of your case after considering the evidence official documents list the ICA number the number the comm

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