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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
Small business owners, or policyholders, who wonder “should I file a workers' comp claim?” can rely on a simple rule of thumb: any worker injury that requires medical help beyond self-treating first-aid is an injury that should be filed.
Reporting the Injury: You must report your work-related injury or illness to your employer within 180 days (Approximately 6 months) or you may be entirely disqualified from receiving workers compensation benefits. As a practical matter, you really should report your injury as soon as possible.
To apply for workers' compensation in Utah, report your injury to your employer within 180 days and submit a Worker's Compensation Claim Form (Form 122) to the Utah Labor Commission. Ensure your healthcare provider submits a Medical Report (Form 123) to support your claim.
(800) 530-5090. laborcom@utah.
If you have not filed a weekly claim during the past three weeks, you must request reopening and/or backdating of your claim by calling the Claims Center (801)526-4400. If you are filing an interstate claim, report to the nearest unemployment office in your state for help in filing your weekly claims.