Reparations Provider Forms
Mental Health Treatment Plans
Mental Health Treatment Plan for Adults (.pdf)
Mental Health Treatment Plan for Adults (.docx)
Common Billing Forms
Receiving Payment
1) For existing vendors who already have a vendor account with the state of Utah:
2) For new vendors who have never been paid by the state of Utah before:
3) For new or existing vendors who wish to set up Direct Deposit/EFTs: EFT FI-171