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Injured worker SIGNS, returns to employers office Employer returns to S & C CLAIMS SERVICES, INC. S & C CLAIMS SERVICES, INC. 3601 N. University Avenue Suite 200 Provo, UT 84604 Tel (866) 2213110
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How to fill out utah workers comp claim

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How to fill out utah workers comp claim

01
Obtain the necessary forms: Visit the website of the Utah Labor Commission or contact them directly to request the relevant claim forms for workers' compensation.
02
Provide personal information: Fill out the forms with your personal details, including your full name, address, phone number, and Social Security number.
03
Document the incident: Describe the details of the workplace accident or injury. Include information such as the date, time, location, and a brief explanation of what occurred.
04
Seek medical attention: If you haven't already done so, promptly visit an authorized medical provider for an evaluation and necessary treatment. Keep records of all medical visits, tests, and treatments.
05
Notify your employer: Inform your employer about the incident and your intent to file a workers' comp claim. Provide them with a copy of the completed claim forms.
06
Submit the claim: Send the completed claim forms, along with any supporting documentation, to the Utah Labor Commission. It's advisable to make copies for your records.
07
Follow up: Keep track of the progress of your claim. Stay in touch with the Utah Labor Commission and provide any additional information or documents they may require.
08
Consult an attorney (optional): If you encounter difficulties during the claims process or if your claim is denied, you may consider seeking legal representation to help navigate the situation.
09
Stay informed: Familiarize yourself with Utah's workers' compensation laws and regulations to ensure you understand your rights and responsibilities throughout the process.

Who needs utah workers comp claim?

01
Anyone who suffers a work-related injury or illness in the state of Utah may be eligible for workers' compensation benefits. This includes employees of private companies, government employees, agricultural workers, and part-time workers. It is important to note that independent contractors are generally not covered by workers' comp and may need to seek alternative forms of insurance or compensation.
02
Employers are also required by law to provide workers' compensation coverage for their employees in Utah, with a few exceptions for certain types of businesses.
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A Utah workers' compensation claim is a formal request for financial benefits due to a work-related injury or illness that an employee files with the Utah Labor Commission.
Any employee who experiences a work-related injury or illness while employed in Utah is required to file a workers' compensation claim.
To fill out a Utah workers' compensation claim, you typically need to complete a Form 801, including details about the injury, the date it occurred, and any medical treatment received, and submit it to your employer or their insurance provider.
The purpose of a Utah workers' compensation claim is to provide medical benefits, wage loss compensation, and rehabilitation services to employees who sustain injuries or illnesses as a result of their job.
Information that must be reported on a Utah workers' compensation claim includes the employee's personal details, employer information, a detailed description of the injury or illness, the date of the incident, and medical treatment information.
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