On-line Licensing Application
This form is for first-time applicants with Utah facilities only
(renewal applicants click here).
With submittal of the online application,
please send a check or money order payment of $300 to:
Department of Human Services
Office of Licensing
195 North 1950 West
Salt Lake City, Utah 84116
Enter text for the appropriate fields below and click Submit.
Note that only one service type can be selected per application.
An additional application must be submitted for each individual site or service requiring licensure.
Please visit our Preparing for Licensure page for more information on how to prepare your new facility for licensure.