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DWS-UI Form 661 Medical Report - Utah
What Is DWS-UI Form 661?
This is a legal form that was released by the Utah Department of Workforce Services - Unemployment Insurance - 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 DWS-UI Form 661?
A: DWS-UI Form 661 is a medical report used in Utah for unemployment insurance purposes.
Q: Who needs to complete DWS-UI Form 661?
A: DWS-UI Form 661 needs to be completed by a medical professional who is treating a claimant for a work-related injury or illness.
Q: What information is required on DWS-UI Form 661?
A: DWS-UI Form 661 requires the claimant's personal information, details of the injury/illness, diagnosis, treatment plan, and a section for the medical professional to provide their signature and contact information.
Q: When should DWS-UI Form 661 be submitted?
A: DWS-UI Form 661 should be submitted as soon as possible after the claimant receives medical treatment for a work-related injury or illness.
Q: Are there any fees associated with DWS-UI Form 661?
A: No, there are no fees associated with DWS-UI Form 661. It is provided as part of the unemployment insurance process in Utah.
Form Details:
- Released on June 1, 2018;
- The latest edition provided by the Utah Department of Workforce Services - Unemployment Insurance;
- 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 printable version of DWS-UI Form 661 by clicking the link below or browse more documents and templates provided by the Utah Department of Workforce Services - Unemployment Insurance.
