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Form HFS3905 Hospital Bed Questionnaire - Illinois
What Is Form HFS3905?
This is a legal form that was released by the Illinois Department of Healthcare and Family Services - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the purpose of Form HFS3905?
A: Form HFS3905 is a questionnaire for hospital beds in Illinois.
Q: Who is required to fill out Form HFS3905?
A: The facility or individual providing hospital beds in Illinois is required to fill out Form HFS3905.
Q: What information is requested on Form HFS3905?
A: Form HFS3905 requests information about the facility or individual providing hospital beds, including contact information and bed capacity.
Q: When is Form HFS3905 due?
A: Form HFS3905 is due within 30 days of initiating hospital bed services in Illinois.
Q: Is there a fee to submit Form HFS3905?
A: No, there is no fee to submit Form HFS3905.
Q: What happens if I don't submit Form HFS3905?
A: Failure to submit Form HFS3905 may result in penalties or the denial of reimbursement for hospital bed services in Illinois.
Form Details:
- Released on June 1, 2009;
- The latest edition provided by the Illinois Department of Healthcare and Family Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form HFS3905 by clicking the link below or browse more documents and templates provided by the Illinois Department of Healthcare and Family Services.
