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.
Q: What is Form 445108?
A: Form 445108 is the Ambulatory Surgical Treatment Center Renewal Licensure form in Illinois.
Q: Who needs to fill out Form 445108?
A: Ambulatory Surgical Treatment Centers in Illinois need to fill out Form 445108 for renewal licensure.
Q: What is the purpose of Form 445108?
A: The purpose of Form 445108 is to renew the licensure of Ambulatory Surgical Treatment Centers in Illinois.
Q: Is there a fee for submitting Form 445108?
A: Yes, there is a fee associated with submitting Form 445108 for Ambulatory Surgical Treatment Center renewal licensure.
Q: What information is required on Form 445108?
A: Form 445108 requires information such as the facility name, address, contact information, and compliance with regulations.
Q: When is Form 445108 due?
A: Form 445108 is typically due on or before the expiration date of the current license.
Q: Are there any additional documents required with Form 445108?
A: Yes, additional documents such as proof of compliance with regulations and inspection reports may be required with Form 445108.
Q: Who should I contact for more information about Form 445108?
A: For more information about Form 445108, you can contact the Illinois Department of Public Health.
Form Details:
Download a fillable version of Form 445108 by clicking the link below or browse more documents and templates provided by the Illinois Department of Public Health.