Illinois Department of Public Health Forms

This document is used for implementing integrated pest management practices in licensed day care centers in Illinois.

This Form is used for applying for a Structural Pest Control License for Commercial Business in Illinois.

This form is used for notifying and obtaining consent before implementing electronic monitoring in the state of Illinois.

This Form is used for submitting the Vision Conservation Annual Report in the state of Illinois.

This document provides valuable tips and guidance on how to prepare for your doctor's visit in the state of Illinois. It covers important information you should know and steps you can take to make the most of your appointment.

This form is used for birth parents in Illinois who want a non-certified copy of their original birth certificate.

This form is used for renewing the license of a Community-Based Residential Rehabilitation Center in Illinois.

This document notifies the recipient about the start date of a construction project in Astc, Illinois.

This form is used for submitting projects for Ambulatory Surgical Treatment Centers in the state of Illinois.

This guide provides important information and tips to consider before getting a piercing in Illinois.

This document provides important information and considerations to know before getting a tattoo in Illinois. It covers topics such as tattoo regulations, choosing a reputable tattoo artist, proper aftercare, and potential risks to be aware of.

This form is used for applying to verify marriage or civil union record files in the state of Illinois.

This form is used for changing the type of CLIA certificate in the state of Illinois.

This document is a pre-inspection checklist for CLIA (Clinical Laboratory Improvement Amendments) in the state of Illinois. It helps ensure that laboratories meet the necessary standards before inspection.

This form is used for submitting samples to the Illinois state lab for testing for arboviral diseases such as West Nile virus and Zika virus.

This form is used for reporting human illnesses caused by harmful algal blooms (HABs) in the state of Illinois.

This Form is used for completing a questionnaire related to branches in the state of Illinois. It helps collect information and data about branches in Illinois for various purposes.

This document is a notification of the start date for the construction of a hospital in Illinois. It provides important information about when the construction is planned to begin.

This form is used for gathering updated data from health care professionals in Illinois. It helps in keeping track of their information and ensuring accuracy in healthcare records.

This Form is used for registering surrendered persons and obtaining identification in the state of Illinois.

This document is used for identifying arthropod specimens in Illinois. It helps record important information about the species for research and conservation purposes.

This Form is used for individuals and organizations in Illinois to apply for approval of lead training courses. It is necessary to obtain this approval in order to provide training on lead-based paint hazards.

This document is used for applying for or renewing a lead abatement contractor license in the state of Illinois.

This Form is used for individuals in Illinois to apply for or renew a Lead Worker License.

This form is used for requesting a blood lead analysis in the state of Illinois.

This document is used for evaluating the risk of prenatal lead exposure in Illinois. It provides information on assessing the potential impact of lead exposure on pregnant women and their unborn children.

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.