Form 122E Employer's First Report of Injury or Illness - Utah

Form 122E Employer's First Report of Injury or Illness - Utah

What Is Form 122E?

This is a legal form that was released by the Utah Labor Commission - a government authority operating within Utah. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 122E?
A: Form 122E is the Employer's First Report of Injury or Illness in Utah.

Q: Who needs to fill out Form 122E?
A: Employers in Utah need to fill out Form 122E in case of any workplace injury or illness.

Q: What is the purpose of Form 122E?
A: The purpose of Form 122E is to report and document workplace injuries or illnesses in Utah.

Q: When should Form 122E be filled out?
A: Form 122E should be filled out as soon as possible after a workplace injury or illness occurs.

Q: What information is required on Form 122E?
A: Form 122E typically requires information about the injured or ill employee, details of the injury or illness, and information about the employer.

Q: Are there any filing deadlines for Form 122E?
A: Yes, employers are required to file Form 122E within seven days of becoming aware of a workplace injury or illness.

Q: What happens after submitting Form 122E?
A: After submitting Form 122E, the employer should keep a copy for their records and provide a copy to the employee if requested.

Q: Are there any penalties for not submitting Form 122E?
A: Yes, failure to submit Form 122E in a timely manner may result in penalties imposed by the Utah Labor Commission.

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Form Details:

  • Released on October 1, 2019;
  • The latest edition provided by the Utah Labor Commission;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 122E by clicking the link below or browse more documents and templates provided by the Utah Labor Commission.

Download Form 122E Employer's First Report of Injury or Illness - Utah

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