PDF
Word
Form 445100 Application for Hospital Licensure - Illinois
What Is Form 445100?
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.
FAQ
Q: What is Form 445100?
A: Form 445100 is the Application for Hospital Licensure in Illinois.
Q: Who needs to fill out Form 445100?
A: Hospitals in Illinois need to fill out Form 445100 to apply for licensure.
Q: What information is required on Form 445100?
A: Form 445100 requires information about the hospital's ownership, governance, staffing, services provided, and compliance with regulations.
Form Details:
- Released on March 1, 2022;
- The latest edition provided by the Illinois Department of Public Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form 445100 by clicking the link below or browse more documents and templates provided by the Illinois Department of Public Health.
Download Form 445100 Application for Hospital Licensure - Illinois
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
