Utah State Government Forms

Form Title	Agency	Topics
1391 Instructions	Department of Transportation	Construction, Appendix / Toolbox, Appendix / Toolbox
1444 Instructions	Department of Transportation	Construction, Appendix / Toolbox, Appendix / Toolbox
152 Appointment of Counsel	Department of Labor Commission
152 Appointment of Counsel	Occupational Safety & Health
2018 Medical Fee Standards	Department of Labor Commission
2018 Workers’ Compensation Quick Reference Guide	Department of Labor Commission
2019 Medical Fee Standards	Department of Labor Commission
2019 Workers’ Compensation Payment Grid	Department of Labor Commission
2019 Workers’ Compensation Quick Reference Guide	Department of Labor Commission
2021-Negotiated-Agreement-Final	Utah Schools for the Deaf and Blind
307 Medical Treatment Provider List	Department of Labor Commission
307 Medical Treatment Provider List	Occupational Safety & Health
308 Authorization to Release Medical Records	Department of Labor Commission
308 Authorization to Release Medical Records (10 Years)	Occupational Safety & Health
308 Authorization to Release Medical Records (15 years)	Occupational Safety & Health
30 Day ATMS BURN-IN TEST REPORT	Department of Transportation	Construction, Inspection
3rd Party Release Form	Occupational / Professional Licensing
402 Application for Hearing – Termination or Reduction of Compensation	Occupational Safety & Health
402 Application for Hearing – Termination or Reduction of Compensation	Department of Labor Commission
403 Persons with Knowledge List	Occupational Safety & Health