Occupational Safety & Health

State of Utah

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

Forms & Documents

Browse all Occupational Safety & Health government forms

1 - 20 of 56 forms

Form Title Topics
001 Industrial Accident Claim – Form Instructions
024 Medical Care Provider
025 Industrial Accident Claim – Form Instructions
026 Occupational Disease Claim – Form Instructions
027 Occupational Disease Claim – Form Instructions
113a Summary of Medical Record – Industrial Accident
113b Summary of Medical Record – Occupational Exposure
152 Appointment of Counsel
307 Medical Treatment Provider List
308 Authorization to Release Medical Records (10 Years)
308 Authorization to Release Medical Records (15 years)
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
Attorney’s Information Sheet – Settlement Agreements
Authorization to Employ a Minor
Boiler Compliance Manual
Certificate of Competency Application

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