Workers Compensation Fund Utah Phone Number

Business License Contact Information Sheet
Phone: (801) 530-4849 . Website: www.business.gov/registration. Obtain a Sales, Use Tax License and/or E.I.N Number. Utah State Tax Commission Internal Revenue Service Workers Compensation Fund . 210 North 1950 West ... Read Document

CALL #1 Page 1 NATIONAL COUNCIL ON COMPENSATION INSURANCE ...
Utah 43 Vermont 44 Virginia 45 Washington Kansas law provides for an exclusion of workers compensation premium developed from policies written for cities, counties, townships, PHONE NUMBER E-MAIL 7. MAIL TO: ... Retrieve Full Source

Utah Labor Commission Division Of Industrial Accidents ...
Exemption through the Workers' Compensation Fund of Utah. Q 8. IF I HAVE A PARTNERSHIP, CORPORATION OR SOLE PROPRIETORSHIP, AM I REQUIRED TO CARRY WORKERS' COMPENSATION INSURANCE? phone number, and steps to report an industrial claim. ... Return Doc

First Report Of Injury Or Illness - Mississippi Workers ...
Mwcc - workers’ compensation - first report of injury or illness employer (name & address incl zip) carrier/administrator claim number report purpose code contact name/phone number type of injury/illness part of body affected ... Doc Retrieval

Workers’ Compensation In California - California Department ...
Provide medical care. Give the name, address, and phone number. 3. Your name 4. Your signature 5. Date Workers’ Compensation (phone: 1-510-622-3959; website: Uninsured Employers Fund (UEF) A possible source of workers’ compensation benefits for an injured worker whose ... Access Doc

Proof Of Coverage 2006 - California Department Of Industrial ...
• The number of new cases received by UEF increased by 45% between FY fund to cover injured workers from uninsured companies. In a wider enforcement record of workers' compensation coverage are contacted and, ... Access Doc

Insurance carrier’s address and phone number at the site of employment 11 12 Utah WC Benefits • Utah benefits for work-related accidents or Workers' Compensation Fund of Utah • Insurer of choice, not mandatory – Insures 56% of Utah's business -- 27,000 ... Retrieve Doc

HOME OCCUPATION BUSINESS LICENSE PACKET - Cottonwood Heights ...
Applications for a state tax number contact the Utah State Tax Commission. Place: 210 North 1950 West Phone: Phone: (801) 538-4034 www.health.utah.gov/licensing. MOTOR VEHICLE ENFORCEMENT WORKERS COMPENSATION FUND Workers compensation insurance is required of all employers. ... Retrieve Content

Workers’ Compensation Insurance - Industrial Commission Of ...
Workers’ compensation insurance regardless of the number of workers they have, whether those workers are part-time, full-time, minors, it will be referred to the Special Fund Division/No workers compensation is the exclusive remedy against an employer that is insured for ... Access Full Source

EMPLOYER (NAME & ADDRESS INCL ZIP) CARRIER/ADMINISTRATOR ...
Date prepared preparer's name & title phone number occurrence/treatment workers compensation - first report of injury or illness insured report number osha case number applicable in utah for your protection, ... Doc Viewer

WORKERS COMPENSATION - FIRST REPORT OF INJURY OR ILLNESS
Contact name/phone number type of injury/illness part of body affected workers compensation - first report of injury or illness. acord 4 applicable in utah employee signature: do not enter data in fields marked * acord 4 (2005/02) ... Visit Document

UTAH LABOR COMMISSION WORKERS’ COMPENSATION HANDBOOK FOR ...
1949. Utah’s workers’ compensation program became law in 1917. The Workers’ Compensation Fund is not a part of the Labor Commission. Main Phone Number (801) 530-6800 Fax Number (801) 530-6804 ... Fetch Content

WORKERS' COMPENSATION - FIRST REPORT OF INJURY OR ILLNESS
INSURED REPORT NUMBER OSHA CASE NUMBER WORKERS' COMPENSATION - FIRST REPORT OF INJURY OR ILLNESS RATE PER: DAY WEEK MONTH OTHER: DATE PREPARED PREPARER'S NAME TITLE PHONE NUMBER third party administrator, state fund, or self-insured responsible for administer-CLAIMS ADMINISTRATOR: ... Fetch This Document

WORKERS COMPENSATION - FIRST REPORT OF INJURY OR ILLNESS
DATE PREPARED PREPARER'S NAME TITLE PHONE NUMBER OCCURRENCE / TREATMENT WORKERS COMPENSATION - FIRST REPORT OF INJURY OR ILLNESS third party administrator, state fund, or self-insured responsible for administer-ing the claim. CARRIER: ... Document Viewer

Workers Compensation Fund HBA Participation Agreement
Workers Compensation Fund HBA Participation Agreement Please Print or Type Give Exact or Full Name Policy Number 1 BUSINESS NAME Street or P.O. Box City Business Telephone Number State Zip Code Fax Number Provided by Workers Compensation Fund for the members of the Utah Home Builders Association ... Get Doc

WORKERS’ COMPENSATION - Kentucky: Personnel Cabinet ...
Workers’ Compensation also known as IA-1 page 2) IA-1 (2/95) Preparer’s Phone Number WORK NUMBER Preparer’s Name & Title CAN NOT BE INJURED EMPLOYEE (EXAMPLE: SUPERVISOR, BRANCH MNGR, CHIEF, the Uninsured Employers’ Fund, ... Read Document