Form 100 – Injured Workers’ Rights and Responsibilities (Spanish)
![Form 100 - Injured Workers’ Rights and Responsibilities (Spanish)](https://laborcommission.utah.gov/wp-content/uploads/2019/11/Form-100-Spanish-Revised-1-2019.jpg)
Form 100 – Injured Workers’ Rights and Responsibilities
![Form 100 - Injured Workers’ Rights and Responsibilities](https://laborcommission.utah.gov/wp-content/uploads/2019/11/Form-100-Revised-1-2019.jpg)
Form 089 – Employee Notification of Denial or Partial Denial of Claim
![Form 089 - Employee Notification of Denial or Partial Denial of Claim](https://laborcommission.utah.gov/wp-content/uploads/2019/11/Form-089-Revised-2-2019.jpg)
Form 303 – Utah Bankruptcy and Insolvency Endorsement
![Form 303 - Utah Bankruptcy and Insolvency Endorsement](https://laborcommission.utah.gov/wp-content/uploads/2019/11/Form-303-Fillable.jpg)
Form 223E – Renewal Application for Self Insurance
![Form 223E - Renewal Application for Self Insurance](https://laborcommission.utah.gov/wp-content/uploads/2019/11/Form-223E-Fillable.jpg)
Form 215E – Agreement of Assumption and Guaranty of Workers’ Compensation
![Form 215E - Agreement of Assumption and Guaranty of Workers' Compensation](https://laborcommission.utah.gov/wp-content/uploads/2019/11/Form-215E-Fillable.jpg)
Form 213E – Self-Insurance Aggregate Surety Bond
![Form 213E - Self-Insurance Aggregate Surety Bond](https://laborcommission.utah.gov/wp-content/uploads/2019/11/Form-213E-Fillable.jpg)
Form 109 – Application for Self Insurance
![Form 109 - Application for Self Insurance](https://laborcommission.utah.gov/wp-content/uploads/2019/11/Form-109-Fillable.jpg)
Employer Response
![Employer Response](https://laborcommission.utah.gov/wp-content/uploads/2019/11/employer-response.jpg)
Authorization to Employ a Minor
![Authorization to Employ a Minor Application](https://laborcommission.utah.gov/wp-content/uploads/2019/11/AuthorizationtoEmployaMinorapplication.jpg)