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  • Workers Compensation Form 122 2012

Get Workers Compensation Form 122 2012-2025

Form 122 For your protection Utah Law requires notice that worker's compensation fraud is a crime. Please see next page for the full fraud statement. WORKER'S COMPENSATION EMPLOYER'S FIRST REPORT.

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For assistance, an injured worker, employer, medical provider or insurance carrier may contact the Industrial Accidents Division at (801) 530-6800 or toll free (in Utah) at (800) 530-5090.

These exceptions include Dual Capacity, Fraudulent Concealment, Employer Assault or Ratification, Power Press, and Uninsured Employer. The civil suit can be concurrently maintained with a workers' compensation action in all of these circumstances.

The exclusive remedy provision in a workers' compensation insurance policy states that a worker cannot sue an employer for a work-related injury as long as they are receiving benefits from workers' comp. The workers' compensation exclusive remedy provision serves as a compromise between employer and employee.

California's workers' compensation laws generally provide that workers' compensation is the exclusive remedy against an employer for an employee's injury or death that arises during the course and scope of employment.

One example includes product liability, specifically when workers are injured by a product made by their employer, provided they obtained the product as a consumer rather than from their employer (Labor Code § 3602(b)(3)).

The California Workers' Compensation Act provides that the exclusive remedy of an injury to an employee arising out of and in the course of employment is the right to recover workers' compensation benefits. (Lab. Code, secs. 3600(a), 3602(a).)

First Report of Injury or Illness -- Forms 122C and 122E. Form 122C is used by the insurance carrier or self-insured employer to report an injury to the injured worker. Form 122E is used by the employer to report an injury to the injured worker and its insurance carrier or the Division, if uninsured.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232