EMPLOYER’S FIRST REPORT OF INJURY OR ILLNESS Forms
| Form Name | EMPLOYER’S FIRST REPORT OF INJURY OR ILLNESS |
| Form # | Form 122E |
| Form Revision | Revised 7/2024 |
| Category | Forms » First Report |
| Downloads | |
| Form State | Utah |
| Language | English / Spanish |
| State Description | n/a |
| Claimwire Description | n/a |