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 IOCI12-12?
A: IOCI12-12 is a form used to request a waiver for Emergency Medical Services (EMS) systems equipment in Illinois.
Q: What does the form request?
A: The form requests a waiver for specific EMS systems equipment.
Q: Who can submit the form?
A: The form can be submitted by individuals or organizations involved in the EMS system.
Q: What is the purpose of the waiver?
A: The purpose of the waiver is to request an exemption from certain equipment requirements in the EMS system.
Q: Is the waiver specific to Illinois?
A: Yes, the waiver request is specific to the state of Illinois.
Q: Are there any fees associated with the form?
A: The form does not mention any specific fees, but additional costs may be applicable depending on the equipment waiver request.
Form Details:
Download a printable version of Form IOCI12-12 by clicking the link below or browse more documents and templates provided by the Illinois Department of Public Health.