Forms and documents
The documents, forms, and checklists listed on this page are made available to assist providers with maintaining compliance. Some of the documents here are mandatory to complete or have, while others are offered as a reference.
Human services program forms
- Program/site initial license application
- Program/site renewal license application
- DSPD Certification application – Residential Support (for use by DSPD-contracted providers only)
- DSPD Certification application – Day Support (for use by DSPD-contracted providers only)
- Youth Transportation Company Registration application
- R501-7 Child Placing Adoption Agencies
- R501-8 Outdoor Youth Programs
- R501-11 Social Detoxification Programs
- R501-12 Foster Care Services
- R501-13 Adult Day Care
- R501-15 Therapeutic Schools
- R501-18 Recovery Residence Services
- R501-19 Residential Treatment Programs
- R501-20 Day Treatment Programs
- R501-21 Outpatient Treatment Programs
- R501-22 Residential Support Programs
- DSPD Programs
- Client Rights Poster
- Utah Abuse and Neglect Reporting Law
- Utah Abuse and Neglect Reporting Law (Spanish)
- Americans with Disabilities Act Notice
- Americans with Disabilities Act Notice (Spanish)
- Civil Rights Notice
- Civil Rights Notice (Spanish)
- Provider Code of Conduct Notice
- Provider Code of Conduct Notice (Spanish)
- Policy and Procedure Requirement Checklist
- TB Screening Tool
- Variance Request
- Youth Education Coordinating Form
- Foster Care Rule Guide
- Foster/Proctor Care – Iniitial Family Application for Agencies
- Foster/Proctor Care Renewal Application for Agencies
- Foster/Protcor Care – Home Study Update Template for Agencies
- Foster/Proctor Initial Home Study Template for Agencies
- ICPC 100A form
- ICPC 100B form
Adoption forms
- Declaration of Adoption Fees and Expenses
- Declaration of Adoption Fees and Expenses – Juvenile
-
DCFS Adoption Pamphlet (required by law for distribution to Adoptive Parents by licensed agencies)