Utah Labor Commission Forms

The Utah Labor Commission is responsible for enforcing labor laws in the state of Utah. It oversees and regulates various aspects of employment, including workplace safety, wage and hour standards, anti-discrimination laws, and workers' compensation. The commission provides resources, education, and assistance to employers, employees, and the general public to promote fair and safe working conditions in Utah.

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Documents:

83

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This Form is used for filing an occupational disease claim in the state of Utah. It is the official form required for workers who have contracted a disease as a result of their job.

This Form is used for applying for a hearing with a medical care provider in the state of Utah.

This Form is used for appointing counsel in legal matters in the state of Utah.

This document is used to legally compel an individual to appear in court or provide evidence in the state of Utah.

This form is used for applying for a hearing regarding the failure of diligent pursuit in the state of Utah. It is used when an individual believes that proper efforts were not made to locate and serve them with legal documents.

This form is used for applying for a hearing related to noncooperation in the state of Utah.

This form is used to list individuals who have knowledge about a particular matter in the state of Utah.

This form is used for filing an application for a hearing to terminate or reduce compensation in Utah.

This document is for notifying employers about alleged workplace safety and/or health violations in the state of Utah. It helps employees report potential violations to the appropriate authorities for investigation and possible resolution.

This form is used for applying for a hearing in Utah regarding an industrial accident claim.

This form is used for applying for a hearing to file an industrial accident claim in Utah. It provides instructions on how to proceed with your claim.

This Form is used for applying for hearing-dependent's benefits and/or burial benefits for an industrial accident claim in Utah.

This Form is used for applying for Hearing-Dependent's Benefits and/or Burial Benefits as part of an Occupational Disease Claim in the state of Utah.

This form is used for authorizing the disclosure, release, and use of protected health information for non-permanent total disability claims in Utah. It complies with HIPAA requirements and is specifically for maintaining records for a period of 10 years.

This Form is used for obtaining a list of medical treatment providers in Utah for official purposes.

This form is used for authorizing the disclosure, release, and use of protected health information for permanent total disability claims in Utah. It is HIPAA compliant and specifically pertains to a 15-year record period.

This form is used for authorizing the release of industrial accident division records in Utah.

This form is used for employers in Utah to report the first report of injury or illness that occurs in the workplace.

This form is used for excluding corporate officers in the state of Utah.

This form is used for reporting work injuries or occupational diseases in Utah.

This document is an Electronic Partnering Agreement specific to the state of Utah. It outlines the guidelines and requirements for electronic partnering with the Poc Iaiabc in Utah.

This document is an electronic trading partner profile for Utah. It is used for facilitating electronic transactions between business partners in the state of Utah.

This document is used for participating in the Iaiabc Electronic Partnering Agreement in Utah. It outlines the agreement terms and conditions for electronic partnering between parties.

This document is used for establishing electronic trading partnerships in Utah through the IAIABC system.

This document provides a list of electronic partnering insurer/claim administrator IDs in the state of Utah. It is used for identifying and interacting with insurers and claim administrators in electronic transactions related to workers' compensation.

This form is used for residents of Utah who want to change their doctors. It allows individuals to apply for a change of their primary care physician or specialist within the state.

This document outlines the electronic transmission profile for workers' compensation claims in Utah as per the standards set by the International Association of Industrial Accident Boards and Commissions (IAIABC).

This form is used for gathering information related to fair housing issues in Utah.

This form is used for assigning a wage claim in Utah, and it is available in both English and Spanish.

This document is for employers in Utah who need to obtain authorization to hire minors.

This document is used for notifying alleged violations of occupational safety and health in the workplace in Utah.

This Form is used for the endorsement of bankruptcy and insolvency proceedings in the state of Utah.

This Form is used for obtaining a self-insurance aggregate surety bond in the state of Utah.

This Form is used for an Agreement of Assumption and Guaranty of Workers' Compensation in the state of Utah. It outlines the responsibilities and obligations of parties involved in assuming and guaranteeing workers' compensation liabilities.

This form is used for applying for self-insurance in Utah. It is an official document that allows individuals or businesses to demonstrate their ability to cover potential losses or accidents without purchasing traditional insurance policies.

This document is a request to vary the requirements for boilers and pressure vessels in the state of Utah. It allows for exemptions or modifications to be made to the standard regulations.

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