Utah Workers Comp Forms

Free Utah workers compensation forms and employer coverage guides.

At Workers Compensation Shop.com we offer free access to workers' compensation forms, applications and guides for the state of Utah. We strive to keep our library up to date with the latest versions of every form you may need.

As with all the information we provide about state workers comp rules please verify the accuracy of this information with the Labor Commission of Utah.

If you have questions about a workers comp form feel free to contact a specialist at 888-611-7467. We want to be your source for workers compensation information, rates and quotes in Iowa.

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Utah Workers Compensation Insurance Forms

Utah Acord 130 Workers Compensation Application

The standard Acord 130 application form for workers comp coverage in Utah.

Utah First Report of Injury Form

First Report of Injury Form. Employers should complete this form and send to their insurance company each time an injury occurs.

Utah Application for Exclusion of Officers and Stockholders

Owners and Officers of corporations should complete this form to exclude themselves from a work comp policy.

Utah Application for Exemption for Workers' Compensation Insurance

Complete this form if you are a sole-proprietor, partnership with no employees or an sole officer of a corporation and would like to be exempt from coverage.

Facts for Injured Workers In Utah

Frequently asked questions about Workers' compensation.

Affirmation of Exemption From Contractor Licensure

Complete this form if you are a contractor and qualify for the contractor exemption. Instructions included. workers and employers.

Workers' Compensation Employee Handbook

Information about workers compensation in Utah for employees.

Workers' Compensation Employer Handbook

Information about workers compensation in Utah for employers.

Safety Program and Cost Control Guidebook

A workers' compensation program to help prevent injuries, reduce costs and make a substantial difference in your company bottom line.

State Resources for Utah

Labor Commission of Utah

Division of Industrial Accidents
160 E 300 South, 3rd Floor
PO Box 146610
Salt Lake City, UT 84114-6610
801-530-6800
laborcommission.utah.gov/

Workers' Compensation Fund of Utah (WCF)

392 E 6400 South
Murray, Utah 84107
800-446-2667
https://www.wcf.com/

Workers compensation insurance is required by law for Utah employers.

Utah forms and applications such as owners inclusion or exclusion forms are sometimes updated by the state. Contact us if you need help or can't find the workers compensation form your need for Utah.

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Visit NCCI for more resources and information about workers' compensation class codes. Visit United States Department of Labor for more information about government agencies managing workers compensation insurance rates.

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