Request for a Technical Assistance Consultation

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please provide the information requested below so we can arrange for one of our licensors to visit you and provide valuable information to help you through the licensing process. This is completely free and there is no charge for this service from Child Care Licensing.

Email *

Please enter your FIRST and LAST name: *

What is the name of your facility? *

Are you interested in a Home or a Center license? *

In-home facility

Commercial or Center based facility

Not sure

Would you like us to provide an on-site visit or a phone call with you to answer your questions? *

Please schedule an on-site Technical Assistance visit.

Please call me to provide the Technical Assistance information that I need.

I am not sure.

What is the address where you would like a Technical Assistance Consultation? *

What is the best phone number to contact you in order to schedule the visit? *

What items would you like to discuss during your Technical Assistance Consultation? (Please check all that apply) *

The application process

Facility requirements

Capacity measurements

Floor plans

Director qualifications

Training

Forms and documents

Ratios and group sizes

Supervision and security

Child safety and injury prevention

Emergency preparedness

Health and infection control

Food and nutrition

Medication

Activities including offsite requirements

Play equipment

Transportation

Animals

Rest and sleep

Diapering

Infant and toddler care

Available resources

Other

Required

Please explain any other information you would like us to review with you. *

THANK YOU FOR REQUESTING A TECHNICAL ASSISTANCE CONSULTATION! We look forward to working with you!

Someone will contact you using the information you provided. For additional information about licensing, please visit our website: dlbc.utah.gov

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of State of Utah.

Does this form look suspicious? Report

Forms