Utah Labor Commission Forms
Adjudication Division
Persons with Knowledge List
On-Line
To submit a Persons with Knowledge List
Application for Hearing
On-Line
AD 402 -To request an application for hearing with an Adjudication judge
Application for Lump Sum
On-Line
AD 134 -Application for Lump Sum
Boiler, Elevator and Coal Mine Safety Division
Application for Surface Mine Forman Certification
On-Line
To apply for Surface Mine Forman Certification
Application for Certification by Endorsement
On-Line
To apply for Certification by Endorsement
Certificate of Competency Application
On-Line
To apply for Certification of Competency
Industrial Accidents Division
EDI POC Trading Partner Application
On-Line
To apply to be an EDI Proof of Coverage Trading Partner
EDI Claims Trading Partner Application
On-Line
To apply to be an EDI Claims Trading Partner
Carrier Contact Info
On-Line
To submit updated Insurance Carrier contact information
Utah Antidiscrimination and Labor Division
Questions
Phone
For general questions about Labor and Housing discrimination
(801) 530-6800
Utah Occupational Safety and Health
Work Site Accident
On-Line
To report an accident that occurred at a work site
Imminent Danger Situation
On-Line
To report an imminent danger situation
Whistleblower Complaint
On-Line
To report alleged retaliatory actions taken against you by your employer
Petition for Modification of Abatement Date (PMA)
On-Line
To petition for modification of the abatement date on a citation