Utah State Government Forms

Form Title	Agency	Topics
152 Appointment of Counsel	Department of Labor Commission
152 Appointment of Counsel	Anti-Discrimination
1-6 Invitation to Submit Offer to Provide Services	Services for People with Disabilities
18 Request for ICD-10 Code From A Diagnosing Professional	Services for People with Disabilities
19C Eligibility for ID-RC Services	Services for People with Disabilities
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
201 Supported Work Independence Client Information Form	Services for People with Disabilities
2021-Negotiated-Agreement-Final	Utah Schools for the Deaf and Blind
2025 RISE Assessment Observation Form	Assessment and Accountability
2025 RISE Assessment Teacher Survey Google Forms	Assessment and Accountability
202 Supported Work Independence Participation Agreement	Services for People with Disabilities
203 Community Services Brokering Action Plan	Services for People with Disabilities
21. Summary of Academic Achievement and Functional Performance for Exiting Student	Special Education Services
28. Prior Medical History Intake for Law Conference 2023	Special Education Services
295 CAPS Form – One-Time Payment Form	Services for People with Disabilities
2-9C Acquired Brain Injury Application for Certification	Services for People with Disabilities