1. (1) An application for registration or renewal of registration as a provider shall include:

   1. (a) the applicant's:

      1. (i) name, and any alternate name the applicant uses or intends to use to do business as a provider;
      2. (ii) street address;
      3. (iii) mailing address;
      4. (iv) telephone number, and if applicable, facsimile number;
      5. (v) email address;
      6. (vi) web address, if the applicant maintains a website;

   2. (b) 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. (i) name;
      2. (ii) street address;
      3. (iii) mailing address;
      4. (iv) telephone number; and
      5. (v) email address;

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

      1. (i) name;
      2. (ii) street address;
      3. (iii) mailing address; and
      4. (iv) telephone number;
   4. (d) a copy of the agreement for earned wage access services that the applicant offers to a consumer that includes all disclosures required by Section 13-78-103; and
   5. (e) a fingerprint card completed by the applicant's principal, and the principal's consent to a criminal background check performed by the Utah Bureau of Criminal Identification.
2. (2) Each of an applicant's principals shall submit a separate fingerprint card and consent to a criminal background check described by Subsection (1)(e).

3. (3) An application for registration or for renewal of registration as a provider shall:

   1. (a) be executed on the form authorized by the division, including all information required by the form; and
   2. (b) include payment of the application fee and any fee associated with conducting the background check described by Subsection (1)(e).

4. (4) If information in an application for registration or for renewal of registration as a provider materially changes or becomes incorrect or incomplete, the applicant or provider shall, within 30 days after the information changes or becomes incorrect or incomplete:

   1. (a) submit to the division the correct information; and
   2. (b) submit to the division a written explanation of the correction, including what information is being added, removed, or modified.
5. (5) A provider shall submit to the division an application for renewal of its registration as a provider no fewer than 30 days before its registration is due to expire.

KEY: earned wage access services

Date of Last Change: October 8, 2025

Authorizing, and Implemented or Interpreted Law: 13-2-5(1); 13-78-102(2)(b)(iii); 13-78-102(3)(b)(ii)