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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.
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.
Each state has its own laws and requirements regarding when and how employers are allowed to opt-out of coverage under their workers' compensation policy. Some states make it easier than others because they don't require anything to be filed. Other states require special inclusion or exclusion affidavit documentation. Failure to comply often causes employers to have to pay premium on themselves even when they wanted to be excluded form coverage.
A waiver of subrogation means that a business and their insurance company is foregoing all rights to file suit, or seek damages, from another business. This is common in the construction industry as builders attempt to protect their company from negligence. A workers' comp waiver of subrogation does not prevent an injured employee from filing a lawsuit for damages. This coverage typically add about $100 to the cost of a work comp policy.
A Certificate of Insurance is a document that serves as evidence of insurance or proof of coverage. Certificates indicate your current coverages and policy limits. Insurance Agencies issue on an insured's behalf and they often list a third party as a certificate holder. This means they should be notified if a policy cancels prior to expiration. Requests for any special wording should be carefully checked against the policy language before being added to a certificate as they can create legal issues with coverage.
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State Resources for Utah
Labor Commission of Utah
Division of Industrial Accidents160 E 300 South, 3rd FloorPO Box 146610Salt Lake City, UT 84114-6610801-530-6800 laborcommission.utah.gov/
Workers' Compensation Fund of Utah (WCF)
392 E 6400 SouthMurray, Utah 84107800-446-2667 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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