This is a legal form that was released by the Utah Department of Public Safety - a government authority operating within Utah. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is SMAA Form 114?
A: SMAA Form 114 is a reimbursement form for Utah residents.
Q: Who can use SMAA Form 114?
A: Utah residents can use SMAA Form 114.
Q: What is the purpose of SMAA Form 114?
A: SMAA Form 114 is used to request reimbursement.
Q: What expenses can be reimbursed using SMAA Form 114?
A: Various medical, dental, and vision expenses can be reimbursed using SMAA Form 114.
Q: How do I submit SMAA Form 114?
A: You can submit SMAA Form 114 by mail or fax.
Form Details:
Download a printable version of SMAA Form 114 by clicking the link below or browse more documents and templates provided by the Utah Department of Public Safety.