The Employer's First Report of Injury or Illness document may be submitted in 3 ways.

1. Submit the claim electronically (preferred method)
   
   
2. Download the First Report (Form 122) and fax the completed form to 801-568-0495.
   
   
3. Call UCIP's toll-free number 800-339-4070 ext. 211 or 212.

   Worker's Compensation Employer's First Report of Injury or Illness
   State of Utah - The Labor Commission - Division of Industrial Accidents
   160 E 300 S. PO Box 146610
   Salt Lake City, Utah 84114-6610