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This document reports the results of a blood lead test conducted in the state of Illinois.
This document is a complaint form for consumers of manufactured housing in Illinois. Use this form to file a complaint regarding any issues or problems with a manufactured home.
This Form is used for applying to transfer ownership of a manufactured home community in Illinois.
This form is used for biological fathers in Illinois to swear under oath about their relationship to a child.
This form is used for applying for a Registry Identification Card for qualifying patients in Illinois.
This document is for health care providers in Illinois to obtain consent and authorization from parents to release newborn screening results.
This Form is used for administrators of long-term care facilities in Illinois.
This Form is used for disclosing information about long-term care services specifically for individuals with Alzheimer's disease or other forms of dementia in the state of Illinois. It provides important details related to the care and services available to these individuals in specialized care facilities.
This document is used to request approval for the use of civil money penalty funds in the state of Illinois.
This document is for obtaining approval for the extension site under Medicare in the state of Illinois.
This form is used for certifying qualifying patients under 18 years of age in Illinois by a reviewing physician.
This document is for individuals in Illinois who need to request a duplicate license for the Plumbing & Water Quality Program. It is used to replace a lost or damaged license.
This Form is used for obtaining a surety bond for a partnership plumbing contractor in the state of Illinois.
This form is used for plumbing contractors in Illinois to declare that they have no employees.
This document is for individuals or companies who want to become registered irrigation contractors in Illinois. It is used to apply for a registration with the state.
This type of document is a Surety Bond form that is used by Limited Liability Irrigation Contractors in Illinois who specialize in installing lawn sprinkler systems. The form serves as a guarantee to protect customers in case the contractor fails to fulfill their obligations.
This form is used for applying for a surety bond for individuals operating as a sole proprietor irrigation contractor who install lawn sprinkler systems in Illinois.
This document is a questionnaire for Phase 7 Mail in Illinois. It is used to collect information from residents in Illinois during this phase of the mailing process.
This questionnaire is designed for phase 8 teenagers in Illinois. It collects information through a series of questions for research or evaluation purposes.
This document is used for applying for state closed loop certification as a licensed water well contractor in Illinois.
This form is used for evaluating private sewage disposal systems in Illinois. It helps assess the functionality and compliance of these systems to ensure proper waste management.
This document is an application for pre-approval of financial assistance for the medication Fuzeon (Enfuvirtide) through the Ryan White Part B Adap Medication Assistance Program (Map) in Illinois.
This document is used for reporting incidents that occur at a pharmacy in Illinois. It helps to ensure the safety and quality of pharmacy services provided to patients.
This document is for applying for pre-approval of hormone therapy medication assistance in Illinois through the Ryan White Part B ADAP Medication Assistance Program (MAP).
This form is used for applying for pre-approval of Mepron (Atovaquone) prescription that exceeds 21 days in the Ryan White Part B Adap Medication Assistance Program (Map) in Illinois.
This Form is used for applying for Stroke Center Designation in Illinois without national certification.
This form is used for applying for a swimming facility license in the state of Illinois.
This Form is used for re-examination of Structural Pest Control Certification in Illinois.
This Form is used for applying for a permit to construct a swimming facility in the state of Illinois.
This Form is used for contractors to apply for prequalification in order to participate in the Illinois Swimming Facility Program.
This form is used for architects and professional engineers to apply for prequalification in the swimming facility program in Illinois.
This form is used for vision rescreening in the state of Illinois. It assists in evaluating the vision of individuals and identifying any issues that may require further examination or treatment.
This form is used for applying for an original campground license in Illinois.
This form is used for reporting injuries and illnesses that occur in the state of Illinois. It is used to document and track incidents for worker's compensation purposes.
This document is used for obtaining a yellow fever vaccination stamp, which is required for international travel. It also includes a vaccination site agreement specifically for Illinois.
This document is a checklist specific to nursing homes in Illinois. It helps individuals and families assess and compare different facilities for their loved ones' care needs.
This document is used for reporting the construction of a water well in the state of Illinois. It provides instructions on how to complete the Water Well Construction Report form.
This form is used for obtaining consent for ordinary and routine medical and dental care in the state of Illinois.
This form is used for birth parents in Illinois to understand their rights and responsibilities in connection with adoption.
This document outlines the rights and responsibilities of birth parents in Illinois when giving final and irrevocable consent to adoption. It specifically applies to DCFS cases in Illinois.