Form 445103 Home Health, Home Services, Home Nursing Agency Initial Licensure Application - Illinois

What Is Form 445103?

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 445103?
A: Form 445103 is an initial licensure application for home health, home services, and home nursing agencies in Illinois.

Q: What is the purpose of Form 445103?
A: The purpose of Form 445103 is to apply for a license to operate a home health, home services, or home nursing agency in Illinois.

Q: Who needs to fill out Form 445103?
A: Anyone who wants to establish and operate a home health, home services, or home nursing agency in Illinois needs to fill out Form 445103.

Q: What information is required in Form 445103?
A: Form 445103 requires information about the applicant, the agency's services, staffing, and financials.

Q: Are there any fees associated with Form 445103?
A: Yes, there are fees associated with Form 445103. The application fee and the initial licensure fee vary depending on the type of agency.

Q: How long does it take to process Form 445103?
A: The processing time for Form 445103 varies, but it typically takes several weeks to review and approve the application.

Q: What happens after submitting Form 445103?
A: After submitting Form 445103, the Illinois Department of Public Health will review the application and contact the applicant with any additional requirements or next steps.