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      • Pay Child Support
      • Change a Child Support Order
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      • Establish Child Support Orders
      • Establish Paternity
      • Set and Enforce Medical Support
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      • Collect Child Support
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ORS lobbies are not staffed by employees, but they are open for clients to make payments at a kiosk or to leave documents in a drop box.  Clients that need to speak in person with an ORS employee must call 801-536-8500 to schedule an appointment.

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.

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Department of Health and Human Services
Multi-Agency State Office Building
195 North 1950 West
Salt Lake City, Utah
84116
 

Child Support Contact Info

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

Medicaid Recovery Contact Info

Phone: +1 (801) 536-8798
Fax: +1 (801) 536-0377
Email: orswebbmc@utah.gov
 
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Navigation Menu

  • Child Support Home
  • 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
    • Locate Parents
    • Set and Enforce Medical Support
    • Collect Child Support
    • Change a Child Support Order
    • Case Closure
  • Calculate Child Support
  • Professional Services
    • Employer Services
    • FIDM
  • Resources
    • Forms
    • Glossary
    • Public Policy
    • Statistics
  • Contact
    • News and Announcements

Resources

211Utah - United Way
Safe UT
Utah Domestic Violence Coalition
988 Suicide and Crisis Lifeline

Hotlines

Abuse/Neglect of Seniors and Adults with Disabilities
1-800-371-7897

Child Abuse/Neglect
1-855-323-DCFS(3237)

Crisis Line & Mobile Outreach Team
1-801-587-3000

National Suicide Prevention Lifeline
1-800-273-TALK(8255)

Sexual Violence Crisis Line
1-888-421-1100

Utah Domestic Violence
1-800-897-LINK(5465)

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  • Child Support Home
  • Manage Your Case
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    • Pay Child Support
    • Change a Child Support Order
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  • Our Process
    • Establish Child Support Orders
    • Establish Paternity
    • Locate Parents
    • Set and Enforce Medical Support
    • Collect Child Support
    • Change a Child Support Order
    • Case Closure
  • Calculate Child Support
  • Professional Services
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    • FIDM
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