Utah Admin. Code 612-200-3

Current through Bulletin 2024-12, June 15, 2024
Section R612-200-3 - Statement of Compensation

At the time a payor first pays permanent partial disability compensation or dependent's benefits to a claimant, the payor shall complete Form 219 "Statement of Compensation." The completed form and supporting documents shall be mailed to the claimant or dependents but need not be filed with the Division unless requested.

Utah Admin. Code R612-200-3

Amended by Utah State Bulletin Number 2014-22, effective 10/22/2014