Adjudication Division
Our Mission
To serve the citizens of the State of Utah by conducting all proceedings with fairness, efficiency, courtesy, and consistency.
Applications for Hearing Workers’ Compensation Claim Denial
- 001 Industrial Accident Claim
- 026 Occupational Disease Claim
- 113a Summary of Medical Record – Industrial Accident
- 113b Summary of Medical Record – Occupational Exposure
- 307 Medical Treatment Provider List
- 308 Authorization to Release Medical Records (10 Year)
- 308 Authorization to Release Medical Records (15 Year)
Reasons to request a hearing:
- Appeal a workers' compensation claim denial
- Request ongoing workers' compensation payments be reduced or terminated under Utah Code Ann. §34A-2-410.5
- Resolve disputes over failure to cooperate with, or diligently pursue, a reemployment plan in a permanent total disability compensation case.
- Appeal an Industrial Accidents Division penalty assessment for failure to maintain workers' compensation insurance
- Appeal an Antidiscrimination Determination
- Appeal an Occupational Safety and Health Division Citation and Notice of Penalty
The Adjudication division accepts documents filed by e-mail at casefiling@utah.gov. All documents must be in PDF format. E-mail addresses must be included in all documents filed with the division.
The Adjudication Division sends all orders, notices, letters and any other form of communication via e-mail. Paper documentation will not be sent via U.S. mail to those with e-mail addresses.
casefiling@utah.gov is reserved for the Adjudication Division exclusively. Documents for other divisions will not be accepted.
Medical Panelists
The Utah Workers’ Compensation Act directs that a Labor Commission medical panel must include one or more physicians who specialize in the treatment of the disease or the condition involved in the claim.
To review the curriculum vitae (CV) for a medical panel physician, please click the physician’s name.
Workers’ Compensation Denial
An injured worker, or surviving spouse and/or dependents in cases of death, may challenge the employer/insurer’s claim denial by filing an Application for Hearing. There is a different form depending on whether the…
Workers’ compensation laws require employers or insurance carriers to pay for injuries arising at work. The Labor Commission is here to make sure that workers’ compensation laws are followed.
Industrial Accidents Non-Compliance Penalty Appeal
After a request for hearing is filed with the Industrial Accidents Division, it is forwarded to the Adjudication Division to begin the hearing process. A hearing is scheduled no sooner than 120 days after the request is received.
Employment Discrimination
When a request for evidentiary hearing is filed with the Antidiscrimination and Labor Division, it is forwarded to the Adjudication Division to begin the adjudication process. A Scheduling Order is issued setting…
UOSH Notice of Contest Hearings
A Notice of Contest filed with the Adjudication Division begins a formal adjudication. The Adjudication Division sends notice to the parties that an adjudication has begun.
Medical Provider Claim Denial
If a claim for medical treatment to treat an injured worker is denied by the industrial insurer or self-insured employer, the medical provider can participate in the informal dispute resolution process through the…