Office of Recovery Services (ORS) - Utah Department of Human Services
Menu
  • Child Support
      • Manage Your Case
      • ORS Now
      • Apply for Child Support
      • Receive Child Support
      • Pay Child Support
      • Change a Child Support Order
      • Housing Verification
      • Our Process
      • Establish Child Support Orders
      • Establish Paternity
      • Set and Enforce Medical Support
      • Locate Parents
      • Collect Child Support
      • Case Closure
      • Calculate Support
      • Calculate Child Support
      • Professional Services
      • Employer Services
      • FIDM
      • Resources
      • Forms
      • Glossary
      • Public Policy
      • Statistics
      • Contact
      • News and Announcements
  • Medicaid Recovery
      • Programs
      • Estate Recovery
      • TORT
      • Healthcare Claims
      • Resources
      • Forms
      • Glossary
      • Statistics
      • Contact
      • News and Announcements
  • News
  • Contact

System Maintenance Notice: ORS systems will undergo an update on Saturday, May 14, 2022 between 6 am and 1 pm. Several public services will be unavailable during this time, such as the ORS phone system, TouchPay payment systems, ORS Now (case management system), online calculators, etc. We apologize for this inconvenience.

Medicaid Recovery Forms

  1. Home→
  2. Medicaid Recovery→
  3. Medicaid Recovery Forms

The following forms are available for you to print and complete. If you have questions about which form you need to complete, please contact us.

MINQ Injury/Accident Questionnaire

This form gives us information about an accident or injury.

Image
Image
Image
Image
ImageImage

DHS Contact Info

Phone: (801) 538-4171
Email: dhsinfo@utah.gov
Media line: (801) 520-2777

State Headquarters

195 N. 1950 W.
Salt Lake City, Utah 84116

Hours: 8AM-5PM (Monday-Friday)

ORS Contact Info

Child Support Contact

Call: +1 (801) 536-8500
Central Fax: +1 (801) 536-8636 Email: orswebcss@utah.gov

Medicaid Recovery

Call: +1 (801) 536-8798
Central Fax: +1 (801) 536-0377 Email: orswebbmc@utah.gov


Site Pages

  • Child Support
  • Medicaid Recovery
  • ORS Staff

Latest News

  • Supply Chain Shortages Affect ORS Outgoing Mail
  • Change to Payments made on Phone System

Utah.gov Links

  • Utah.gov Home
  • Utah.gov Terms of Use
  • Utah.gov Privacy Policy
  • Utah.gov Accessibility Policy
  • Translate Utah.gov
  • Child Support
    • Manage Your Case
      • Manage Your Case
      • ORS Now
      • Apply for Child Support
      • Receive Child Support
      • Pay Child Support
      • Change a Child Support Order
      • Housing Verification
    • Our Process
      • Our Process
      • Establish Child Support Orders
      • Establish Paternity
      • Set and Enforce Medical Support
      • Locate Parents
      • Collect Child Support
      • Case Closure
    • Calculate Support
      • Calculate Support
      • Calculate Child Support
    • Professional Services
      • Professional Services
      • Employer Services
      • FIDM
    • Resources
      • Resources
      • Forms
      • Glossary
      • Public Policy
      • Statistics
    • Contact
      • Contact
      • News and Announcements
  • Medicaid Recovery
    • Programs
      • Programs
      • Estate Recovery
      • TORT
      • Healthcare Claims
    • Resources
      • Resources
      • Forms
      • Glossary
      • Statistics
    • Contact
      • Contact
      • News and Announcements
  • News
  • Contact
Translate »