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This form is used for obtaining a certificate of medical necessity for an external insulin infusion pump in the state of Illinois.
This form is used for completing a questionnaire related to a prosthesis in the state of Illinois. It collects information to assist in determining eligibility and coverage for prosthesis-related services.
This form is used for completing a questionnaire and ordering a Neuromuscular Electrical Stimulator (NMES) in Illinois.
This form is used for long term care providers in Illinois who operate state-operated facilities. It outlines the agreement between the provider and the state for providing care to individuals.
This form is used for submitting transportation invoices in the state of Illinois.
This document is used for submitting Medicare crossover invoices in Illinois. It allows healthcare providers to claim reimbursement for services provided to patients who are eligible for both Medicare and Medicaid.
This form is used for reporting progress on negative pressure wound therapy in the state of Illinois.
This type of document is used for providers in Illinois to participate in the Illinois Medical Assistance Program.
This form is used for submitting a questionnaire to request a home apnea monitor in Illinois.
This Form is used for assessing wound measurements in the state of Illinois.
This form is used for gathering information through a questionnaire about home phototherapy in the state of Illinois.
This form is used for reporting and paying the Live Adult Entertainment Facility Surcharge in the state of Illinois.
This Form is used for documenting abstinence, character, and substance use in the state of Illinois.
This Form is used for software developers in Illinois to apply for electronic filing of individual income tax returns.
This document is used for providing information related to the regulation and schedule for the sale and distribution of cigarettes and tobacco products in Illinois.
This form is used for claiming a credit for excise taxes and fees for audited periods in Illinois.
This document is used for obtaining a certificate of insurance for structural pest control in the state of Illinois. It is a necessary form for individuals or companies in the pest control industry to provide proof of insurance coverage.
This Form is used for notifying the state of Illinois about a change in address.
This form is used for filing a statement of dissociation in the state of Illinois. It allows an individual to formally declare their dissociation from a partnership or limited liability partnership.
This Form is used for individuals in Illinois to submit a formal statement denying certain claims or allegations made against them.
This Form is used for reporting the merger of a partnership or limited partnership in the state of Illinois.
This form is used for submitting an affidavit of compliance for serving documents on the Secretary of State of Illinois. It is required in certain legal proceedings.
This Form is used for documenting self-help support and recovery programs in Illinois.
This form is used for completing a medical questionnaire as part of the Illinois Adoption Registry process in Illinois. It collects important health information to help with the adoption process.
This form is used for adoptive parents in Illinois to understand their rights and responsibilities in the adoption process. It provides information on the legal aspects, financial responsibilities, and support available to adoptive parents in the state.
This form is used for keeping a record of the family health history in the state of Illinois.
This document is used for filing the Automobile Renting Occupation and Use Tax Return in Illinois. It provides instructions on how to fill out the form and submit the tax return.
This form is used for obtaining a dental examination certificate for school children in Illinois. (Spanish)
This document is used for reporting employer information in the state of Illinois.
This form is used for fleet exemption schedule in Illinois. It is specifically for Form RUT-25-E.
This Form is used for applying and recording child information in the state of Illinois.
This Form is used for an agreement between parties for the use of vehicles by a commercial driving school in the state of Illinois.
This Form is used for applying for a permit to construct, modify, or abandon a water well in the state of Illinois.
This form is used for aircraft owners in Illinois to certify their eligibility for exemption from certain taxes.
This form is used for gathering information from claimants who have voluntarily left their job in Illinois.
This Form is used for submitting a request for information under the Freedom of Information Act in the state of Illinois. It allows individuals to access and obtain records held by government agencies.
This form is used for declaring signatures in the state of Illinois. It is used to verify the authenticity of a signature on a document or form.
This document is for converting a company's legal structure to an LLC in the state of Illinois.
This form is used for residents of Illinois to opt out of electronic filing for their tax returns.
This form is used for appointing a short-term guardian in the state of Illinois.