Forms
Human Services Licensing
These documents, forms, and checklists are made available to assist providers with maintaining compliance.
Human Services Program Forms
Checklists have been moved to the rules and license types webpage.
Client rights poster (English)
Download
Client rights poster (Spanish)
Download
Utah abuse and neglect reporting law (English)
Download
Utah abuse and neglect reporting law (Spanish)
Download
Americans with disabilities act notice (English)
Download
Americans with disabilities act notice (Spanish)
Download
Civil rights notice (English)
Download
Civil rights notice (Spanish)
Download
Provider code of conduct (English)
Download
Provider code of conduct (Spanish)
Download
Administrative hearing request
Download
Code of conduct
Download
DSPD residential attestation form for HCBS waiver
Download
DSPD non-residential attestation form for HCBS waiver
Download
DSPD residential provider self-assessment tool for HCBS waiver
Download
General provisions rule guide
Download
TB screening tool
Download
Youth education coordinating form
Download
Foster care rule
Download
Foster/proctor care - Initial family application for agencies
Download
Foster/proctor care - Renewal application for agencies
Download
Foster/proctor care - Home study update template for agencies
Download
Foster/proctor - Initial home study template for agencies
Download
ICPC 100A form
Download
ICPC 100B form