Industrial Accidents Division

State of Utah

Official Website: https://laborcommission.utah.gov/divisions/industrial-accidents/

Forms & Documents

Browse all Industrial Accidents Division government forms

21 - 25 of 25 forms

Form Title Topics
Form 303 – Utah Bankruptcy and Insolvency Endorsement
Form 350 – Emergency Medical Service Provider Exposure Report Form
Form 441 – Insurance Carriers/Self Insurer’s Notice of Further Investigation of a Workers’ Compensation Claim
INJURED WORKERS’ RIGHTS AND RESPONSIBILITIES Revised 7/2024
Petition for Reimbursement From the Employers’ Reinsurance Fund

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