Choose the licensed family, residential certificate, or other applicable residential pathway first. DLBC explicitly labels many everyday forms as samples, and licensing and DWS subsidy paperwork use different portals.
Agency: Department of Health and Human Services, Division of Licensing and Background Checks Paperwork source review: September 14, 2026
Use your print window to print on paper or save as a PDF. The organizer is a planning aid for your files.
Check the form and your provider type.
An official agency form is issued or listed by the agency; that label alone does not establish mandatory use. A required state form is identified as mandatory in the cited instructions. A required record identifies information you must maintain; its format may be flexible. An optional template is a suggested format. Official instructions / portal links explain the application or record process.
Read “Applies to” and “Format and applicability” for each item. Home, group-home, center, local licensing, food-program, and subsidy requirements can differ.
Application & renewal
01
Official instructions / portal
Child Care Applications and Renewals
Choose the correct application and submit renewal requests.
Applies to
Licensed family and residential certificate applicants/providers
Who completes it
Applicant/provider
Where it goes
DLBC provider portal; supporting clearances accompany the application.
When to use or update
At startup and renewal; supplementary initial documents are due within 180 days of application.
Format and applicability: Public instructions; portal requires UtahID. Commercial-only director credentials/floor-plan attachments are marked separately.
Selected official forms and public instructions were reviewed on September 14, 2026. This is a practical starting list, not a complete certification of every record, retention period, local rule, or individual application.
Sample forms do not establish mandatory use of a particular layout.
Licensed family, residential certificate, registered residential, and DWS family/friend/neighbor pathways differ; use the application page's matching pathway.
Use the agency’s current original and revision instructions. Keep confidential child and staff records in your own secure record system.
Use this sheet to check which items apply to your program. A listed item or a checked box does not establish that your program meets licensing requirements.
Program / provider type:
Licensing office / reviewer:
Date checked / rule or packet edition:
Form or instruction
Applies? Yes / No / Ask
Received / completed
Location / next review
1. Child Care Applications and Renewals
2. Admission Agreement
3. Health Assessment
4. Annual Training Record
5. Disaster/Fire Drill Log
6. Emergency Preparedness Plan
7. Medication Permission / Release Form
8. DWS Child Care Provider Guide
Other local or agency document
Food-program / subsidy documents
Questions and next steps
Ask about required format, signatures, submission, update triggers, and retention. Record the agency’s answer and the person or written source that confirmed it.
Companion to the Utah source review dated September 14, 2026. Provider Path educational planning sheet.
Use your existing tools alongside these sources.
Keep official licensing records with your program’s business records. Provider Path’s editable agreement, handbook, and daily forms can help organize your work; check the state instructions before choosing a format.
