Utah Department of Workforce Services Forms

This form is used for reporting the status of schools and government entities in Utah. It is a way to provide information about the current situation and performance of these organizations.

This form is used for providing employer health insurance information in the state of Utah. It allows employers to report details about the health insurance coverage they offer to their employees.

This Form is used for providing third party and insurance information in Utah for the Department of Workforce Services.

This type of document provides information about insurance and third parties in Utah.

This form is used for releasing and disclosing information and giving consent for coordinated services in the state of Utah.

Este formulario se utiliza para autorizar la divulgación de información personal y dar consentimiento para recibir servicios coordinados en Utah.

This document for a Non-disclosure Agreement specific to the state of Utah. It establishes confidentiality obligations between two or more parties to protect sensitive information.

This form is used for documenting the family composition of those receiving contracted services through the Temporary Assistance for Needy Families (TANF) program in Utah. It helps determine eligibility and benefits.

This document outlines the rules and expectations set forth by the state of Utah regarding acceptable behavior and conduct. It serves as a guide for individuals and organizations on how to conduct themselves in a professional and respectful manner.

This Form is used for applying for self-employment benefits in Utah. It is intended for Spanish speakers.

This form is used for referring patients with low vision to an eye specialist in Utah.

This form is used for making a referral for assistive technology in Utah.

This document is a form used in Utah for obtaining informed consent and release of information in the context of the Utah Health Management Information System (UHMIS).

This document is an application form for students applying for Training and Adjustment Services in Utah.

This form is used to apply for SNAP, financial, child care, and medical benefits in Utah.

This form is used for determining eligibility for the TANF (Temporary Assistance for Needy Families) program in Utah.

This Form is used for determining eligibility of TANF benefits for needy families in the state of Utah.

This form is used for providing employment information in the state of Utah.

This form is used for requesting accreditation inclusion in the CCQS framework in the state of Utah.

This form is used for school-age classroom self-evaluation in Utah.

This form is used for preschool classroom self-evaluation in the state of Utah.

This Form is used for requesting a review of the Child Care Quality System (CCQS) in Utah.

This document is a guide for childcare providers in Utah in Spanish. It provides information and resources for individuals who offer care for young children.

This form is used for filing an amended employer's contribution report in the state of Utah.

This form is used for registering a business in the state of Utah. It collects information about the business and its owners.

This form is used for making a decision on waiving trade adjustment assistance training in Utah.

This document is used for making a decision regarding a training waiver under the Trade Adjustment Assistance Reform Act of 2002 in Utah.

This Form is used for appealing a decision made by a representative in Utah.

This form is used for requesting a deferral of work search requirements in the state of Utah.

This document is used for medical reporting in the state of Utah. It is specifically for reporting medical information to the Utah Department of Workforce Services (DWS) for UI (unemployment insurance) purposes.

This form is used for verifying training and funding to obtain department approval in Utah.

This form is used for requesting an extension of approved training in Utah.