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Form IOCI17-149 Renewal Notice / Child Support / Personal History Statement - Emergency Medical Services (EMS) Systems - Illinois
What Is Form IOCI17-149?
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 IOCI17-149?
A: IOCI17-149 is the form for Renewal Notice/Child Support/Personal History Statement for Emergency Medical Services (EMS) Systems in Illinois.
Q: What is the purpose of IOCI17-149?
A: The purpose of IOCI17-149 is to renew the license for emergency medical service providers in Illinois and to gather personal history information for background checks.
Q: Who needs to fill out IOCI17-149?
A: Emergency medical service providers in Illinois need to fill out IOCI17-149 for license renewal and background checks.
Q: What information does IOCI17-149 require?
A: IOCI17-149 requires personal history information, employment history, child support compliance, and other relevant details for background checks.
Form Details:
- Released on November 1, 2016;
- 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 IOCI17-149 by clicking the link below or browse more documents and templates provided by the Illinois Department of Public Health.
