Utah Admin. Code R152-23-4 - Application for Registration or Renewal of Registration
An application for registration or renewal of registration of a health spa facility shall be submitted on a form approved by the division, and include:
(1) the applicant's:
(a) name, and any alternate name that it uses
to do business as a health spa facility;
(b) street address;
(c) mailing address;
(d) telephone number, and if applicable,
facsimile number;
(e) email
address;
(f) web address, if it
maintains a website;
(2)
a person designated by the applicant to be its contact person with whom the
division will communicate regarding the application, and that person's:
(a) name;
(b) street address;
(c) mailing address;
(d) telephone number;
(e) email address;
(3) the applicant's registered agent for
service of process in the state, and the registered agent's:
(a) name;
(b) street address;
(c) mailing address; and
(d) telephone number;
(4) a copy of any contract:
(a) used by the applicant in connection with
the sale of a health spa service;
(b) that is drafted in accordance with Title
13, Chapter 23, Health Spa Services Protection Act;
(5) the number of unexpired contracts for a
health spa service that:
(a) designate the
health spa facility as a consumer's primary location; or
(b) for a health spa facility's first year of
registration, the number of contracts for a health spa service designating the
health spa facility as a consumer's primary location the applicant reasonably
expects to execute;
(6) a
copy of the applicant's:
(a) bond, letter of
credit, or certificate of deposit obtained in accordance with Subsection
13-23-5(2) and on
a form approved by the division; or
(b) a surety exemption claim completed in
accordance with Section
R152-23-5;
(7) a copy of the applicant's liability
insurance policy, in accordance with Subsections
13-23-5(1)(g)(i) and
(ii);
(8) a list of each health spa service or
combination of health spa services offered by the applicant at the health spa
facility, including the price and duration of each service or combination of
services; and
(9) the application
fee and any applicable late fee.
Notes
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