If you are willing to report
how you were wrongfully denied Utah workers' comp benefits for mental
or physical injuries or diseases, the questions are at the end of this
questionnaire. If you want to go straight there without answering these
questions, click here.
Please click on the boxes next
to the following items that describe your work environment and/or how you
feel about it. To remove a check, click on it.
FYI: I get your answers as
anonymous e-mail. I doubt the value of privacy statements, because a crook
can make a promise and break it as easily as an honest person can make
one and keep it. So I wll just say I value confidentiality and will comply
with the same code of confidentiality as your personal physician.
Utah Workers' Compensation
Complaint Form
If you are willing to
go on the record with your stories about being wrongfully denied workers'
compensation benefits, please send me the following information: