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 445106?
A: Form 445106 is a document for Pregnancy Termination Specialty Center (ASTC) Licensure Initial in Illinois.
Q: What does ASTC stand for?
A: ASTC stands for Pregnancy Termination Specialty Center.
Q: What is the purpose of Form 445106?
A: The purpose of Form 445106 is to apply for initial licensure for a Pregnancy Termination Specialty Center in Illinois.
Q: Who needs to fill out this form?
A: This form needs to be filled out by individuals or organizations who want to obtain an initial license for a Pregnancy Termination Specialty Center in Illinois.
Q: What information is required in this form?
A: The form will typically require information about the center's name, address, contact information, ownership details, and other relevant details.
Q: Are there any fees associated with this form?
A: Yes, there may be fees associated with the licensure application. The specific fees will be determined by the licensing authority in Illinois.
Q: What happens after submitting Form 445106?
A: After submitting the form, the licensing authority will review the application and may conduct inspections or request additional information. If the application is approved, a license will be issued.
Q: How long does it take to get a license?
A: The time it takes to obtain a license may vary. It will depend on the processing times of the licensing authority and the completion of any necessary inspections or requirements.
Q: Can I operate a Pregnancy Termination Specialty Center without a license?
A: No, operating a Pregnancy Termination Specialty Center without a license is illegal in Illinois. It is important to obtain the necessary license before providing such services.
Form Details:
Download a fillable version of Form 445106 by clicking the link below or browse more documents and templates provided by the Illinois Department of Public Health.