Utah Administrative Code (Current through November 1, 2019) |
R612. Labor Commission, Industrial Accidents |
R612-200. Workers' Compensation Rules - Filing and Paying Claims |
R612-200-3. Statement of Compensation
Latest version.
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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.