Utah landlord · tenant screening

Utah Residential Rental Application

Download the Utah residential rental application — screens prospective tenants with application-money elections, a standalone screening-report authorization, and the disclosures federal and Utah law require — in fillable Word and fillable PDF, with the Utah Completion & Compliance Guide.

Fillable Word + fillable PDF
Utah Completion & Compliance Guide included
Completed sample available
Instant secure download

Renting out property in more than one state? This page is the Utah application — each state's edition is built to its own screening and application-money law.

All states — Rental Applications Leases & real estate forms hub

What's in your Utah download

Every file below is included: the fillable Word application, a fillable PDF, the Utah Completion and Use Guide, and the federal FCRA Summary of Your Rights.

Included files

Utah Residential Rental Application Core application — completes on screen in the fillable PDF or in Word, then print and sign Word PDF
Utah Completion & Compliance Guide Money elections, criteria timing, deadlines, refunds, adverse action, and recordkeeping — editable Word; print-ready PDF Word PDF
FCRA Summary of Your Rights (CFPB) The federal consumer-rights summary that ships with every screening package — print-ready PDF PDF

Preview the actual form

The real document — not a mockup. Page 1 of the form included in your download.

Get This Form — $9.99

Page 1 of the Utah Residential Rental Application form — Form PL-UT-RA01 · Page 1 of the actual Utah document included in your download.

Inside the Utah application

Every part of the form, in order — the application summary, 17 sections, and the office-use panel.

Application summary The reasonable-accommodation contact line, property applied for, requested move-in date, offered rent, and stated security deposit.
1. Application Money Disclosure
2. About You Identity, contact channels, an electronic-notice election with a paper-mail alternative, and identity-document choices (SSN, ITIN, government-issued ID, or a lawful alternative) — no date-of-birth field anywhere on the form.
3. Other Proposed Occupants Household composition with a separate-signed-application election for each person — ages, birth dates, and adult/minor classifications are never collected; every other adult completes and signs a separate application.
4. Pets and Assistance Animals Household pets only; service and assistance animals are handled as fair-housing accommodations, never as pets.
5. Residential History Current and prior addresses, housing payments, owner/manager contacts, and an optional neutral move reason.
6. Employment & Income Employment plus any lawful source of income, with the Utah source-of-income note.
7. Banking or Asset Verification An optional verification election; the form never collects account numbers.
8. References and Emergency Contact An optional personal reference and an emergency contact that is not used for screening.
9. Vehicle Information Vehicle details where parking is requested.
10. Additional Information An open area for lawful qualification information.
11. Screening Criteria Election
12. Reusable or Portable Tenant-Screening Reports
13. Screening Information and Legal Limits
14. Consumer Report Disclosure How consumer reports are obtained and the adverse-action notice commitment.
15. Privacy, Retention, and Disposal Data-minimization commitments under the FCRA and its Disposal Rule.
16. Applicant Declaration The signed certification of accuracy with a verification-contact authorization; electronic and copied signatures honored.
17. Screening Report Disclosure and Authorization The standalone signed authorization, investigative-report notice, agency identification, free-report-copy election, and the federal Summary-of-Your-Rights package insert.
For Office Use Only

About this form

A residential rental application is the landlord's first line of protection: it collects the applicant's identity, household composition, rental history, employment and income, and references, and it carries the disclosures and signed authorizations that make lawful tenant screening possible before a lease is signed.

Utah Code § 57-22-4 requires an itemized written disclosure before accepting an application fee or any other payment: the good-faith rent estimate, each fixed non-rent expense and amount, each use-based expense by type, the scheduled availability date, screening criteria, and the recovery process. If the rental agreement differs from the disclosed estimate or adds an undisclosed use-based expense, a written pre-signing demand triggers return of all money within five business days.

Utah Code § 57-21-5 protects the federal fair-housing classes plus source of income, sexual orientation, and gender identity. Utah has no statewide reusable-report mandate or separate criminal-screening sequence.

100% satisfaction guarantee

ILRG provides self-help legal forms and download support. PublicLegal landlord forms are provided for you to complete with your own property and screening information. Screening rules vary by state and change frequently — the Completion & Compliance Guide explains the rules in your state and the steps that keep this application within them. If you are not 100 percent satisfied after purchasing from us, contact us for a refund.

Frequently Asked Questions About Utah Rental Applications

What must be disclosed before accepting application money?

Utah Code § 57-22-4(3) requires the good-faith rent estimate, fixed non-rent expenses and amounts, use-based expenses by type, scheduled availability date, screening criteria, and the recovery process.

When may an applicant recover money paid?

Before signing, the applicant may demand all money back in writing if the rental agreement differs from the disclosed rent or fixed-expense estimate or adds an undisclosed use-based expense. Return it within five business days.

Which additional fair-housing classes apply?

Utah Code § 57-21-5 adds source of income, sexual orientation, and gender identity to the federal protected classes.

Must I accept a reusable screening report?

No statewide Utah law requires acceptance of a reusable screening report. If one is voluntarily accepted, verify it directly with the reporting agency.

What is included?

The six-page Utah application in fillable Word and PDF, a Completion & Use Guide, and the federal FCRA Summary of Rights. A completed Salt Lake City sample is optional.

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