Form CMS284B Self-disclosure of Criminal History - Illinois

What Is Form CMS284B?

This is a legal form that was released by the Illinois Department of Central Management 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 CMS284B?
A: Form CMS284B is the Self-disclosure of Criminal History form for the state of Illinois.

Q: Why would I need to fill out Form CMS284B?
A: You may need to fill out Form CMS284B if you have a criminal history and are applying for certain healthcare licenses in Illinois.

Q: How do I fill out Form CMS284B?
A: You will need to provide your personal information, details about your criminal history, and any supporting documentation.

Q: Is Form CMS284B only for healthcare professionals?
A: Yes, Form CMS284B is specifically for healthcare professionals who are applying for licensure in Illinois.

Q: Are there any fees associated with Form CMS284B?
A: There may be fees associated with the processing of your application, but there are no specific fees related to Form CMS284B itself.

Q: What happens after I submit Form CMS284B?
A: After you submit Form CMS284B, the Illinois Department of Public Health will review your application and criminal history to determine if you are eligible for licensure.

Q: What if I have a criminal history?
A: If you have a criminal history, you will need to disclose all relevant information on Form CMS284B and provide any supporting documentation.

Q: Can I still get licensed if I have a criminal history?
A: Having a criminal history does not automatically disqualify you from obtaining a healthcare license in Illinois. The Illinois Department of Public Health will review your application and criminal history on a case-by-case basis.