Form IOCI16-156 Emergency Medical Services (EMS) Inactive Request - Illinois

Form IOCI16-156 Emergency Medical Services (EMS) Inactive Request - Illinois

What Is Form IOCI16-156?

This is a legal form that was released by the Illinois Department of Public Health - 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 IOCI16-156?
A: IOCI16-156 is an Emergency Medical Services (EMS) Inactive Request form.

Q: What does EMS stand for?
A: EMS stands for Emergency Medical Services.

Q: What is an EMS Inactive Request?
A: An EMS Inactive Request is a request to temporarily deactivate an EMS agency or service.

Q: Who can submit an EMS Inactive Request?
A: The EMS agency or service can submit an EMS Inactive Request.

Q: Why would an EMS agency or service submit an Inactive Request?
A: An EMS agency or service may submit an Inactive Request if they are temporarily unable to provide emergency medical services.

Q: Which state is this form for?
A: This form is for Illinois.

Q: Is this form specific to a certain region in Illinois?
A: No, this form is applicable to all regions in Illinois.

Q: Is there a fee for submitting an EMS Inactive Request?
A: No, there is no fee for submitting an EMS Inactive Request.

Q: How long can an EMS agency or service be inactive?
A: The maximum duration for an EMS agency or service to be inactive is 12 months.

Q: Can an EMS agency or service be inactive indefinitely?
A: No, an EMS agency or service cannot be inactive indefinitely. It must be reactivated within 12 months or the agency's license will be closed and a new application will be required.

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Form Details:

  • The latest edition provided by the Illinois Department of Public Health;
  • 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 IOCI16-156 by clicking the link below or browse more documents and templates provided by the Illinois Department of Public Health.

Download Form IOCI16-156 Emergency Medical Services (EMS) Inactive Request - Illinois

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