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Utah Forms

17 State Forms found

name	number	revision	print or send online
(DISCONTINUED BY STATE, NO REPLACEMENT) DEPENDENT'S BENEFIT INFORMATION	Form 151 - DEACTIVATED	Revised 2/09
(DISCONTINUED BY STATE, NO REPLACEMENT) Insurer Request for Extension of Time to Obtain 2nd Dental Opinion	Form 198 - DEACTIVATED	Revised 10/14
(DISCONTINUED BY STATE) Insurer / Employer Initial Reemployment Report for Injured Worker	Form 206 - DEACTIVATED	This form is no longer available
(DISCONTINUED BY STATE, NO REPLACEMENT) AUTHORIZATION TO RELEASE LABOR COMMISSION RECORDS	Form 046 - DEACTIVATED	Revised 06/2003
(DISCONTINUED BY STATE, NO REPLACEMENT) Abstract of Award	No Form Number - DEACTIVATED	No date
(DISCONTINUED BY STATE, NO REPLACEMENT) CONTINUED DEPENDENTS’ BENEFITS DECLARATION	No Form Number - DEACTIVATED	No date
(DISCONTINUED BY STATE, NO REPLACEMENT) NOTICE OF DESIGNATED AGENT	No Form Number - DEACTIVATED	4/1/11
(Discontinued by State) DISABILITY QUESTIONNAIRE	No Form Number DEACTIVATED	2/12/13
(This form has been discontinued by the state and replaced with an online submission platform.) Estado de Utah División de Antidiscriminación y Labor Discriminación en el Empleo FORMULARIO	No Form Number. DEACTIVATED	7/12
(The state has discontinued this form in favor of an online submission platform. ) Forma de Reclamo de Multa por Pago Tardío de Sueldo (Late Wage Payment Penalty Form)	No Form Number DEACTIVATED	1-12
(Discontinued by State) ELEVATOR/ESCALATOR VARIANCE REQUEST FORM	No Form Number DEACTIVATED	no date
(Discontinued by State) Federal Inspection Request and Authorization Form	No Form Number. DEACTIVATED	no date
(DISCONTINUED BY STATE, NO REPLACEMENT) Workers’ Compensation Coordination of Benefits Untimely Payment Complaint Form	No Form Number - DEACTIVATED	no date
(Discontinued by State) CUESTIONARIO "ADA"	No Form Number DEACTIVATED	no date
(The state has discontinued this form and moved it to an online submission only platform.) Solicitud de Información Inicial Discriminación en la Vivienda	UALD-FH-501S-0304 DEACTIVATED	no date

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Disclaimer: These forms may not be the most recent version. Utah may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on this site. Please check official sources.

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