This is a legal form that was released by the Utah Labor Commission - 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 Form 122E?
A: Form 122E is the Employer's First Report of Injury or Illness in Utah.
Q: Who needs to fill out Form 122E?
A: Employers in Utah need to fill out Form 122E in case of any workplace injury or illness.
Q: What is the purpose of Form 122E?
A: The purpose of Form 122E is to report and document workplace injuries or illnesses in Utah.
Q: When should Form 122E be filled out?
A: Form 122E should be filled out as soon as possible after a workplace injury or illness occurs.
Q: What information is required on Form 122E?
A: Form 122E typically requires information about the injured or ill employee, details of the injury or illness, and information about the employer.
Q: Are there any filing deadlines for Form 122E?
A: Yes, employers are required to file Form 122E within seven days of becoming aware of a workplace injury or illness.
Q: What happens after submitting Form 122E?
A: After submitting Form 122E, the employer should keep a copy for their records and provide a copy to the employee if requested.
Q: Are there any penalties for not submitting Form 122E?
A: Yes, failure to submit Form 122E in a timely manner may result in penalties imposed by the Utah Labor Commission.
Form Details:
Download a fillable version of Form 122E by clicking the link below or browse more documents and templates provided by the Utah Labor Commission.