Utah Workers' Comp Claims Kit

How to report a workplace injury

Phone: (844) 581-0828

For life-threatening medical emergencies, call 911

Preferred method: Submit the claim information online here

Another option to report a claim is via e-mail within 24 hours of the incident (or as soon as possible):

E-mail: claims@pieinsurance.com

In the e-mail, include the following information:

• Name of business
• Policy Number
• Reporting party’s contact information (name, phone, e-mail)
• The name, phone and e-mail address of injured employee
• Date of incident
• Location of incident (address and/or city, state)
• Description of incident

Once an injury or illness has been reported to the employer, the employer has 7 days to report the claim with Form 122E - Employer's First Report of Injury or Illness to its insurance carrier and the insurance carrier has 14 days to report the “First Report of Injury” electronically to the Industrial Accidents Division. The employer must provide a copy of the form 122E to the injured worker.

Posting Notices

Prominently display the notice where each employee is likely to see the notice on a regular basis.

UT Posting Notice - English

UT Posting Notice - Spanish

UT Workplace Health and Safety Poster - English

UT Workplace Health and Safety Poster - Spanish

UT Industrial Accidents Employee Guide

UT Employer First Report of Injury Form

Reference Material

Utah Department of Insurance – Workers’ Compensation Website

Employers’ Guide to Workers’ Compensation

Information for Injured Workers

Employee Guide to Workers’ Compensation

What is the waiting period for lost wages in Utah:

No payment is due for the first 3 days of disability following the day of the injury, unless the disability lasts longer than 14 days, then the first 3 days will be paid retroactively.  The three-day waiting period is established just once and the days do not need to be consecutive. The three-day waiting period does not apply to temporary partial payments.