New Operator Registration

Colorado Agency for Recovery Residences

Operator Registration Form

This is a one-time registration form for recovery residence operators in the State of Colorado to gain access to the certification portal. To learn more about the certification process please review the following links:

Please send us the initial business and primary contact information required below.

A CARR Staff Member will reach out to you about your registration and for next steps in the process.

Your information is safe and secure within CARR's system.

If you've already submitted this form for a given business please do not resubmit. Please reach out to info@carrcolorado.org for more information.

Operator Business Information

Business Entity Name

Business Email

Business Phone

Website

Primary Business Address

Address Line 1

Address Line 2

City

State

Postal Code

Primary Contact Information

First Name

Last Name

Title

Work Phone

Work Email

Confirm Work Email

SSN

Birthdate

By submitting this form, I hereby affirm the information entered here is valid and request access to the certification portal by the Colorado Agency of Recovery Residences.

I affirm

Colorado Agency for Recovery Residences

CARR Contact Info