1. (1) the applicant's:

   1. (a) name, and any alternate name that it uses to do business as a health spa facility;
   2. (b) street address;
   3. (c) mailing address;
   4. (d) telephone number, and if applicable, facsimile number;
   5. (e) email address;
   6. (f) web address, if it maintains a website;

2. (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:

   1. (a) name;
   2. (b) street address;
   3. (c) mailing address;
   4. (d) telephone number;
   5. (e) email address;

3. (3) the applicant's registered agent for service of process in the state, and the registered agent's:

   1. (a) name;
   2. (b) street address;
   3. (c) mailing address; and
   4. (d) telephone number;

4. (4) a copy of any contract:

   1. (a) used by the applicant in connection with the sale of a health spa service;
   2. (b) that is drafted in accordance with Title 13, Chapter 23, Health Spa Services Protection Act;

5. (5) the number of unexpired contracts for a health spa service that:

   1. (a) designate the health spa facility as a consumer's primary location; or
   2. (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. (6) a copy of the applicant's:

   1. (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
   2. (b) a surety exemption claim completed in accordance with Section R152-23-5;
7. (7) a copy of the applicant's liability insurance policy, in accordance with Subsections 13-23-5(1)(g)(i) and (ii);
8. (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. (9) the application fee and any applicable late fee.

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:

KEY: consumer protection, health spas

Date of Last Change: October 24, 2022

Notice of Continuation: November 24, 2021

Authorizing, and Implemented or Interpreted Law: 13-2-5(1); 13-23-5(1)(a)(iv)(A) through (C); 13-23-5(1)(h)