160 East 300 South, 3rd Floor Salt Lake City, UT 84114-6600 How can we help? My LC Portal simplifies the process of filing fair housing, employment discrimination, and workplace safety filings.Gather information to file your complaint: Your name, address, and telephone number. Edit, sign, and share ut wage claim online. No need to install software, just go to DocHub, and sign up instantly and for free. Form 122 C Your workers' compensation insurance carrier must file this form with the Utah Labor Commission when they have been notified of your injury. When a Complaint is filed, a warning letter will be sent to the employer explaining the law and asking that the employer make sure that they are in compliance. Upload signed claim form and documents: Check your email for the Back Wage Claim Form (WH-60). Complete and sign it, then create a login. Finally, Utah Code Ann.