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  • 801 538 4701 Form 2018

Get 801 538 4701 Form 2018-2025

DIVISION OF WILDLIFE RESOURCES. 1594 West North Temple. Salt Lake City UT 84114-6301. 801 538-4701/538-4812 CERTIFICATE OF REGISTRATION - AMENDMENT REQUEST FOR COR FILL OUT COMPLETELY AND LEGIBLY APPLICANT complete name address phone number name address phone and certificate of registration or permit number of person from whom you expect to obtain the animal s etc. PURPOSE DESCRIPTION AND LOCATION OF HOLDING FACILITIES if different than on origin.

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The Department of Health, Facility Licensing and Certification, licenses two types of assisted living facilities (ALFs) ing to the level of care required by residents.

To report a problem, call our public reporting line at 385-468-8888 or choose one of the options below.

To report instances of suspected fraud or illegal business practices, call 1-801-538-9895. If you think a Medicaid provider is involved with fraud, contact the Utah Office of Inspector General (OIG) by calling our toll-free hotline at 1-855-403-7283 or send an email to mpi@utah.gov.

Contact the Division at (801) 530-6601 during normal business hours.

Reporting Concerns To file a grievance with the State of Utah, call 1(800) 662-4157 or send a letter to the Utah Bureau of Health Facility Licensing, Certification and Resident Assessment, P.O. Box 144103, Salt Lake City, UT 84114-4103.

Utah Department of Adult Protective Services hotline at 1-800-371-7897 or nearest law enforcement agency. Report form also available at: https://utahaps.com/Intake/NewPublicIntakeReport.aspx.

Health Resource Line Call 1-888-222-2542 for health information or resources for programs within the Utah Department of Health and Human Services.

Application Process Those living in assisted living and Type N residences can apply after 365 days as a resident. Persons can apply online at UtahID. An account must be created to do so. Alternatively, persons can call the New Choices Waiver program at 800-662-9651 (option 6) to request a program application.

If you suspect mistreatment at a licensed or unlicensed facility, please submit your concern using the form below or call (801) 538-4242. Your name: Your email or phone number: May we contact you for further information?

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232