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Form 122C First Report of Injury or Illness - Utah
What Is Form 122C?
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.
FAQ
Q: What is Form 122C?
A: Form 122C is the First Report of Injury or Illness form in Utah.
Q: What is the purpose of Form 122C?
A: Form 122C is used to report and document workplace injuries and illnesses in Utah.
Q: Who needs to fill out Form 122C?
A: Employers must fill out Form 122C when an employee has a work-related injury or illness.
Q: When should Form 122C be filled out?
A: Form 122C should be filled out within 7 days of the employer's knowledge of the injury or illness.
Q: Are there any fees associated with filing Form 122C?
A: No, there are no fees associated with filing Form 122C.
Q: What information is required on Form 122C?
A: Form 122C requires information about the employer, employee, injury or illness, and treatment received.
Q: What should I do if I have questions about filling out Form 122C?
A: If you have questions about filling out Form 122C, you can contact the Utah Labor Commission for assistance.
Form Details:
- Released on October 1, 2019;
- The latest edition provided by the Utah Labor Commission;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form 122C by clicking the link below or browse more documents and templates provided by the Utah Labor Commission.
Download Form 122C First Report of Injury or Illness - Utah
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