Form 044 Employee's Notification of Intent to Leave Locality or State, and to Change Doctor or Hospital - Utah

Form 044 Employee's Notification of Intent to Leave Locality or State, and to Change Doctor or Hospital - Utah

What Is Form 044?

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 044?
A: Form 044 is the Employee's Notification of Intent to Leave Locality or State, and to Change Doctor or Hospital in Utah.

Q: Who uses Form 044?
A: Form 044 is used by employees in Utah who intend to leave their current locality or state and change their doctor or hospital.

Q: What is the purpose of Form 044?
A: The purpose of Form 044 is to notify the employer of an employee's intent to leave the current locality or state and to change their doctor or hospital.

Q: Do I need to submit Form 044?
A: Yes, if you are an employee in Utah and you intend to leave your current locality or state and change your doctor or hospital, you need to submit Form 044 to notify your employer.

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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 044 by clicking the link below or browse more documents and templates provided by the Utah Labor Commission.

Download Form 044 Employee's Notification of Intent to Leave Locality or State, and to Change Doctor or Hospital - Utah

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  • Form 044 Employees Notification of Intent to Leave Locality or State, and to Change Doctor or Hospital - Utah, Page 1
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