This is a legal form that was released by the Indiana Department of Homeland Security - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 54693?
A: Form 54693 is an application for waiver of EMS Commission rules (836 IAC) in Indiana.
Q: Who can use Form 54693?
A: Any individual or organization in Indiana who wants to request a waiver of EMS Commission rules (836 IAC) can use Form 54693.
Q: What is the purpose of Form 54693?
A: The purpose of Form 54693 is to request a waiver of specific EMS Commission rules (836 IAC) in Indiana.
Q: How do I fill out Form 54693?
A: Form 54693 must be completed with accurate and specific information regarding the requested waiver and supporting documentation.
Q: Is there a fee to submit Form 54693?
A: There may be a fee associated with submitting Form 54693, as determined by the Indiana EMS Commission.
Q: Who should I contact for more information about Form 54693?
A: For more information about Form 54693, you can contact the Indiana EMS Commission or your local EMS office.
Form Details:
Download a fillable version of State Form 54693 by clicking the link below or browse more documents and templates provided by the Indiana Department of Homeland Security.