Direct Mail COVID-19 Home Test Kit Request Form
The Utah Department of Health and Human Services has rapid antigen home test kits ready for distribution within the state of Utah. These test kits are for those who face financial barriers to accessing test kits or testing services on their ownHome test kits will only be mailed to Utah addresses. Maximum 2 orders per month, per address. All requests are subject to availability. 

Some considerations about home test kits:
  • These tests have expiration dates. PLEASE DO NOT DISCARD WITHOUT CHECKING FOR EXPIRATION DATE EXTENSION. Check for expiration extension here:
https://www.fda.gov/medical-devices/coronavirus-covid-19-and-medical-devices/home-otc-covid-19-diagnostic-tests#list
  • These tests are NOT for commercial use and are for personal use only.
  • These tests CANNOT be used for travel.
  • Test results are not shared with public health and are for client information only. Test administration is not observed or proctored, and results do not serve official reporting purposes.
  • This test does not replace official testing through a healthcare provider.
  • It is recommended that you share your test results with your healthcare provider.

Please complete this form if you are interested in receiving test kits for you and your household.


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