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Authorization to Release Industrial Accident Division Records - Utah

Authorization to Release Industrial Accident Division Records - Utah 2025

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The document is a Form 205 from the State of Utah's Labor Commission, specifically for the Division of Industrial Accidents. It serves as an authorization for claimants to request the release of their industrial injury or illness records. The form outlines the process for releasing these records to a requesting party for claim verification and management, in compliance with the Government Records Access & Management Act (GRAMA). It includes sections for claimant information, record requests, and associated fees.

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