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Print Form PO BOX 144103 SALT LAKE CITY, UT 841144103 (801) 2732994 (800) 6624157 toll-free (801) 2740658 Fax HealthFacilityComplaint@utah.govUTAH DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION
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Input your current residential address, including street, city, state, and zip code.
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Individuals who are applying for a job, filling out a rental application, registering for a service, or seeking assistance from a government agency may need to provide contact information in Utah.
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Contact information in Utah typically includes the details of an individual or entity's mailing address, phone number, and email address.
Any individual or entity conducting business in Utah may be required to file contact information.
Contact information can typically be filled out online through a designated website or submitted via paper form.
The purpose of collecting contact information is to ensure accurate communication with individuals or entities conducting business in Utah.
Contact information commonly includes name, address, phone number, and email address.
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