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Application For Licensure - Medication Aide-Certified Institution/facility/association Page 2

*Important Additional Important Information:

1. Application Processing: Processing time for an application is approximately 7 to 14 business days.

2. Laws and Rules: You are required to understand Utah laws and rules pertaining to your practice. The following laws and

rules are available on the Internet at



Division of Occupational & Professional Licensing Act



General Rules of the Division of Occupational & Professional Licensing



Nurse Practice Act



Nurse Practice Act Rules

3. Acceptable Forms of Payment: Licensure fees can be paid by check or money order, made payable to “DOPL.” Cash

and debit/credit cards

are also accepted in person at DOPL’s main office. Credit card

(American Express, MasterCard, and Visa)

information is not accepted over the telephone.

4. Mail Complete Application to:

By U.S. Mail

Division of Occupational & Professional Licensing

P.O. Box 146741

Salt Lake City, Utah 84114-6741

By Delivery or Express Mail

Division of Occupational & Professional Licensing

160 East 300 South, 1

Floor Lobby

Salt Lake City, Utah 84111

5. Telephone Numbers:

(801) 530-6628

(866) 275-3675 – Toll-free in Utah

DOPL-AP- Rev 2013-03-18

Application For Licensure - Medication Aide-Certified Institution/facility/association Page 2