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DWS-ESD 61LT Rev. 07/2012 State of Utah Department of Workforce Services MEDICAL APPLICATION FOR LONG-TERM CARE PID#: Case#: PLEASE USE A BLACK BALL POINT PEN TO COMPLETE FORM Answer the questions.

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Our Mission The mission of the Utah Department of Health is to protect the public's health through preventing avoidable illness, injury, disability, and premature death; assuring access to affordable, quality health care; and promoting healthy lifestyles.

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

Our Department-wide FY20-21 Strategic Plan is the action behind our purpose to strengthen lives by providing children, youth, families and adults individualized services to thrive in their homes, schools, workplaces and communities.

Tracy S. Gruber was named executive director of the Utah Department of Human Services in January 2021.

We are more than just birth certificates and Medicaid. In fact, with three divisions, 26 offices and bureaus, and more than 50 programs, we serve the residents of Utah across their entire lifespan, from healthy pregnancies to preventing falls among older adults and everything in between.

Call 1-888-222-2542 for health information or resources for programs within the Utah Department of Health and Human Services. Staff are available to answer your call Monday through Friday from 8 a.m. to 5 p.m.

For answers to your questions on how to apply, please call the Department of Workforce Services (DWS): Salt Lake County (801) 526-0950 or Toll-free 1-866-435-7414.

Administrative Services Home The Utah Department of Public Safety Administrative Services (DPS) plays a vital role within the department to provide services to all divisions within the department. DPS administrative services includes: Human Resources, Technology Services, Professional Standards and Financial Services.

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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