This version of the form is not currently in use and is provided for reference only. Download this version of Official Form 441 for the current year.
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 441?
A: Form 441 is a Notice of Further Investigation of Workers' Compensation Claim.
Q: What is Workers' Compensation?
A: Workers' Compensation is a form of insurance that provides medical and wage replacement benefits to employees who are injured on the job.
Q: Who needs to fill out Form 441?
A: The employer or their insurance company needs to fill out Form 441 in cases where further investigation of a Workers' Compensation claim is necessary.
Q: What is the purpose of Form 441?
A: The purpose of Form 441 is to notify the injured employee and their attorney, if applicable, that the employer or insurance company will be conducting further investigation into the Workers' Compensation claim.
Q: What should I do if I receive Form 441?
A: If you receive Form 441, you should carefully review the notice and cooperate with any requests for further information or documentation from the employer or their insurance company.
Q: What happens after Form 441 is submitted?
A: After Form 441 is submitted, the employer or insurance company will conduct further investigation into the Workers' Compensation claim. This may include obtaining medical records, interviewing witnesses, or consulting with experts.
Q: Can I still receive benefits if Form 441 is filed?
A: Yes, you can still receive Workers' Compensation benefits while the further investigation is being conducted.
Q: What should I do if I have questions or concerns about Form 441?
A: If you have questions or concerns about Form 441, you should consult with an attorney who specializes in Workers' Compensation law.
Form Details:
Download a fillable version of Official Form 441 by clicking the link below or browse more documents and templates provided by the Utah Labor Commission.