Department of Labor Commission

Official Website: https://laborcommission.utah.gov

The Utah Labor Commission plays a vital role in Utah’s economy by ensuring safety and fairness in the workplace and housing. The Commission’s five divisions, Adjudication, Boiler, Elevator and Coal Mine Safety, Industrial Accidents, Utah Antidiscrimination and Labor Division (UALD), and Utah Occupational Safety and Health Administration (UOSH), ensure that the Labor Commission touches every business in Utah in multiple ways. From the Office of Coal Mine Safety in Price to the southern Utah Adjudication office in St. George, to the Commission’s HQ in downtown Salt Lake, Utah Labor Commission employees cover the state to enhance safety in Utah’s workplaces and achieve fairness in employment and housing.

Forms & Documents

Browse all Department of Labor Commission government forms

1 - 20 of 58 forms

Form Title Topics
001 Industrial Accident Claim – Form Instructions
024 Medical Care Provider
025 Industrial Accident Claim
026 Occupational Disease Claim – Form Instructions
027 Occupational Disease Claim – Form Instructions
113a Summary of Medical Record – Industrial Accident (or you may submit actual medical records supporting your claim)
113b Summary of Medical Record – Occupational Exposure
152 Appointment of Counsel
2018 Medical Fee Standards
2018 Workers’ Compensation Quick Reference Guide
2019 Medical Fee Standards
2019 Workers’ Compensation Payment Grid
2019 Workers’ Compensation Quick Reference Guide
307 Medical Treatment Provider List
308 Authorization to Release Medical Records
402 Application for Hearing – Termination or Reduction of Compensation
403 Persons with Knowledge List
404 Notice of Filing “Application for Hearing for Termination or Reduction of Benefits”
502 Application for Hearing Failure of Diligent Pursuit
602 Application for Hearing Noncooperation

Contact Information & Office Locations

1 contact point

Main Office

Address:
160 East 300 South
3rd Floor
Salt Lake City, UT 84114-6600

Phone numbers:
  • (801) 530-6800
Emails:

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