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Self-Insurance

Required Prerequisites

How To Apply

To apply for self-insurance status, an employer must submit the following:

After considering the application and all supporting information, the Division will approve or deny the self-insurance application.  An applicant whose request is granted will receive a Certificate of Self-Insurance, which can be renewed annually. Denied applicants have the right to appeal the decision to the Labor Commission’s Adjudication Division.

Self-Insurance Renewal

Self-insured status must be reviewed and renewed annually.  A renewal application must be submitted at least 60 days prior to the expiration of the current certificate along with a $650 nonrefundable application fee and a recent certified audit report.

Do Not Report an Imminent Danger or Accident Using this Form or Email

To report an Imminent Danger, call
(801) 530-6901 or (800) 530-5090 immediately.

To Report an Accident, click the button below.

An employer must report an accident within eight hours of it’s occurrence. See Utah Admin. Code Rule R614-1-5)(B)(1).

To file a complaint that is not an imminent danger or accident, click File Complaint below.

*Although the complaint form references federal law, the Utah Occupational Safety and Health Division administers the Utah Occupational Safety and Health Act.

See Utah Code §§ 34A-6-101 – 34A-6-307