Form HFS3859B Statement of Good Faith Effort - Illinois

What Is Form HFS3859B?

This is a legal form that was released by the Illinois Department of Healthcare and Family Services - 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 Form HFS3859B?
A: Form HFS3859B is the Statement of Good Faith Effort for the state of Illinois.

Q: What is the purpose of Form HFS3859B?
A: The purpose of Form HFS3859B is to demonstrate that an organization has made a good faith effort to achieve the goals of the Illinois Department of Healthcare and Family Services, such as promoting diversity and inclusion.

Q: Who needs to submit Form HFS3859B?
A: Organizations that are doing business with the Illinois Department of Healthcare and Family Services and are required to demonstrate their good faith effort to achieve the department's goals.

Q: When should Form HFS3859B be submitted?
A: Form HFS3859B should be submitted within 30 days after the contract or agreement is executed.

Q: Are there any fees associated with submitting Form HFS3859B?
A: No, there are no fees associated with submitting Form HFS3859B.

Q: What information is required on Form HFS3859B?
A: Form HFS3859B requires information about the organization, such as its name, address, contact person, and a description of the good faith efforts made.

Q: Is there a deadline for submitting Form HFS3859B?
A: Yes, Form HFS3859B should be submitted within 30 days after the contract or agreement is executed.

Q: What happens if I don't submit Form HFS3859B?
A: Failure to submit Form HFS3859B may result in the organization being deemed non-compliant and may impact their ability to enter into contracts with the Illinois Department of Healthcare and Family Services.