Utah Business Insurance Company

WORKERS COMPENSATION INSURANCE

office:

801.432.8121

toll free:

866.642.8242

fax:

801.571.8165

NEWSLETTER

UBIC Forms

  • Form 122
  • Form A
  • Form B
  • Form C
  • Form D
  • Form E
  • OSHA 300 Log Information
  • Job Analysis - Light Duty
  • Light Duty Notification

State Forms

  • Industrial Accidents
  • Safety & Health
  • Boiler & Elevator Safety
  • Workplace Safety
  • Antidiscrimination & Labor
  • Adjudication
  • Administrative Services

Employer First Report if Injury Forms

 

LOG IN & OUT

Login

EMPLOYER RESOURCES

File A Claim Certificate of Insurance Preferred Providers List Control Claims Costs Obtain Coverage Rights & Responsibilities Locations & Directory Publications Policy Audit

AGENT RESOURCES

Non-Appointed Agent Info Appointed Agent Info Agent Services Certificate of Insurance Underwriting Forms Locations & Directory Apply for Agency Appointment

WORKER RESOURCES

After an Injury Preferred Providers List Rights & Responsibilities Basic Workers Comp Law

SAFETY RESOURCES

Safety Consulting Safety Topic Guides Safety & Health Links Publications

POLICY INFO

Obtaining Coverage Policy Audit

FORMS

Blank Claim Forms Certificate of Insurance Employer First Report of Injury Application for Insurance Policy Review/Self Audit

ABOUT UBIC

News Newsletters Mission Statement Board of Directors History Contact Us

Privacy |  Email Us |  Site Index

10150 S. Centennial Parkway
Suite 100
Sandy, UT 84070

 

© 2008-2009 All rights reserved.