Utah Claimant's First Set of Interrogatories to Employer and Carrier

State:
Multi-State
Control #:
US-01365
Format:
Word; 
Rich Text
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Description

This is a workers compensation case request for production of documents to claimant from the insurance carrier and employer. Documents are typically requested in this manner when pursuing a workers compensation claim. Adapt to fit your circumstances.
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  • Preview Claimant's First Set of Interrogatories to Employer and Carrier
  • Preview Claimant's First Set of Interrogatories to Employer and Carrier
  • Preview Claimant's First Set of Interrogatories to Employer and Carrier
  • Preview Claimant's First Set of Interrogatories to Employer and Carrier
  • Preview Claimant's First Set of Interrogatories to Employer and Carrier
  • Preview Claimant's First Set of Interrogatories to Employer and Carrier

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FAQ

Reporting of the incident should be done directly to the workers' compensation insurance carrier, who in turn electronically reports the injury to the Industrial Accidents Division within fourteen days of that notification.

An injured worker's wage is paid at 66 2/3%. The weekly payment minimum is $45. The weekly maximum is $597 85% of the Utah state average weekly wage. Maximum total period of payments is 312 weeks and may be up to life if the worker cannot be rehabilitated.

Once an injury or illness has been reported to the employer, the employer has 7 days to report the claim ?Employers First Report of Injury or Illness? (Form 122e) to its insurance carrier and the insurance carrier has 14 days to report the ?First Report of Injury? electronically to the Industrial Accidents Division.

When a worker is injured, each missed day of work represents lost wages. In workers' compensation insurance, indemnity benefits are paid to the employee to help them cover their loss of income. Payments are a portion of the worker's average weekly wage, and take into consideration the extent of the disability.

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.

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Utah Claimant's First Set of Interrogatories to Employer and Carrier