Get 404 Notice Of Filing Application For Hearing For - Utah Labor ... "

Filling out the 404 Notice Of Filing Application For Hearing For - Utah Labor is a vital step for employers seeking to notify employees about compensation termination or reduction. This guide will provide you with clear, step-by-step instructions to ensure you complete the form correctly and efficiently online.

Follow the steps to fill out the form accurately.

1. Click ‘Get Form’ button to access the form and open it in your editor.
2. Begin by entering the employer's name in the designated field labeled 'Employer (Petitioner).' This is essential to identify the party filing the application.
3. Fill in the employer's mailing address, including city, state, and zip code. This information should be current to ensure proper communication.
4. Provide the employer's email address in the required field. Accurate contact information is critical for notifications and updates.
5. Specify the worker's compensation insurance carrier's details, including name, mailing address, email address, as this will link the insurance coverage to the notice.
6. Enter the respondent's (employee) information, including name, mailing address, and phone number, to formally notify them of the hearing application.
7. Indicate whether you are requesting to terminate or reduce temporary total disability compensation by checking the appropriate boxes and specifying any necessary amounts.
8. Provide the printed name and state bar number of the petitioner's attorney, if applicable. Include their contact information to ensure clarity on legal representation.
9. Sign and date the form, certifying that a copy of the notice has been sent to the respondent, including their address details.
10. Once completed, ensure all information is correct. You can then save the changes, download the form, print it for your records, or share it as required.

Complete your 404 Notice Of Filing Application For Hearing For - Utah Labor online today!