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This form is used for completing an Agricultural Equipment Exemption Usage Questionnaire in the state of Indiana. It is a required document for individuals or businesses seeking exemptions related to agricultural equipment usage.
This Form is used for notifying the authority in Indiana about Aboveground Storage Tank Systems.
This form is used for the initial registration of aboveground storage tank systems in the state of Indiana.
This form is used for applying for eligibility for the UST (Underground Storage Tank) decommissioning or replacement program in Indiana.
This document provides instructions for applying for Eltf (Excess Liability Trust Fund) eligibility for the decommissioning or replacement of USTs (Underground Storage Tanks) in Indiana.
This form is used for reporting the expenditures of waste tire grants in the state of Indiana. It helps track the allocation and utilization of funds for waste tire management projects.
This Form is used for enrolling in the Indiana Outpatient Influenza-like Illness Surveillance Network (ILINet). ILINet is a system that monitors and tracks influenza-like illnesses in Indiana. By enrolling, individuals contribute to important data collection on the spread of influenza in the state.
This checklist is used for documenting the entrance conference at a hospital or critical access hospital (CAH) in Indiana.
This document provides a checklist for the entrance conference documentation required for Ambulatory Surgical Centers (ASC) and End Stage Renal Disease (ESRD) facilities in Indiana.
This document is a checklist used in Indiana for conducting entrance conferences regarding life safety code compliance for ICF/DD (Intermediate Care Facility for Individuals with Intellectual Disabilities). It ensures that proper documentation is in place to address safety measures in these facilities.
This Form is used for applying for a license to operate a blood center in the state of Indiana.
This document is used for investigating cases of monkeypox in Indiana. It is a form that gathers crucial information about the patients and helps health officials track and contain the spread of the disease.
This form is used for healthcare facilities in Indiana to apply for the renewal of their license. It is required to ensure that these facilities meet the necessary standards and regulations to operate in the state.
This form is used for changing the administrator or director of nursing in the state of Indiana.
This Form is used for applying for a license to operate a health facility in the state of Indiana.
This Form is used for submitting a Plan Review Questionnaire in the state of Indiana.
This form is used for reporting visa or Vrsa (Violent School Incident) incidents in the state of Indiana. It is a document designed to track and document any incidents related to visas or violent incidents in schools.
This form is used for reporting and tracking infections when transferring patients between healthcare facilities in Indiana.
This document is used for reporting CPO (Chemical/Contamination Prevention Officer) information in the state of Indiana.
This form is used for investigating cases of invasive Group A Streptococcus disease in Indiana.
This form is used for reporting cases of Candida Auris in the state of Indiana.
This form is used for completing a questionnaire related to a home health agency in the state of Indiana.
This Form is used for applying for a license to operate a home health agency in the state of Indiana.
This form is used for renewing the registration to operate an out-of-state mobile healthcare entity in Indiana.