Please fill out this application completely. Please use correct spelling of names, matching what is on official documents, e.g. birth certificate. When entering your information please do not use all capital letters. After completing and submitting the application, you will be directed to our scheduling page to schedule an appointment with a Family Service Worker to complete your application interview.
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Are there other adults in the household?

Add Another Adult
- Your Address - Available Locations
Click a location on the map to see more info
Click here to find a provider in your area.

Do you want to apply now for another child in your family?

Add Another Applicant

Are there other children in the family?

Add a Sibling
Thank you for applying. After you hit the submit button you will be directed to our scheduling page to schedule an appointment with a Family Service Worker to complete your application interview. You will need to provide proof of household income, proof of child's age, child's current immunizations and address verification. Please feel free to contact OWCAP at 801-399-9281 ext. 999 if you have any questions.
Required information is missing, see above.