AGENCY: Department of Commerce. Division of Professional Licensing

SERIES: 30932
TITLE: Applicant's evidence of identity documents
DATES: 2024-
ARRANGEMENT: Chronological by application type

DESCRIPTION: These records document information required for an applicant to receive a license as stipulated in Utah Code 58-1-301(1)(b)(ii)(B) and (d) and R156-1-301(4). Information may include Individual Taxpayer Identification Number (ITIN), Alien Registration Number (A-number), unexpired government-issued passport from the applicant's country of residence, and intent-to-hire letter from a Utah-based employer.

-Personal Identifying Information (PII) that may be included in this record series consists of: name, social security number, date of birth, license number(s), home/mailing addresses, email address, phone number, criminal history, employer details (including name, workplace address, and contact information), emergency contact information (including names, phone numbers, and relationship to the licensee), medical records (including evaluations, treatment plans, progress notes, and prescription information related to medical, mental health, and substance use disorders), biological specimen testing results (including urine, blood, breath, hair, and nail), signatures, handwritten or typed documents, findings from Division-led investigations and information obtained from reviews of relevant databases.

-Purposed Information is Collected: The Division collects application information to determine if an applicant meets statutory/rule requirements.

-Statute citation reference to collect PII information: Section 58-1-301

RETENTION

Retain for 10 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series is proposed and has not yet been approved.

FORMAT MANAGEMENT

Computer data files: Retain in Office for 10 years and then delete.

APPRAISAL

Administrative Legal

PRIMARY DESIGNATION

Private. Utah Code 63G-2-302(2)(d)

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