State Form 49621 Application for License to Operate a Blood Center Pursuant to Ic 16-41-12 - Indiana

State Form 49621 Application for License to Operate a Blood Center Pursuant to Ic 16-41-12 - Indiana

What Is State Form 49621?

This is a legal form that was released by the Indiana State Department of Health - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 49621?
A: Form 49621 is the Application for License to Operate a Blood Center in Indiana.

Q: What is the purpose of Form 49621?
A: The purpose of Form 49621 is to apply for a license to operate a blood center in Indiana.

Q: Which law is the form based on?
A: Form 49621 is based on Indiana Code 16-41-12.

Q: What does the application process involve?
A: The application process involves completing Form 49621 and submitting it to the appropriate authorities.

Q: Who needs to fill out this form?
A: Any individual or organization seeking to operate a blood center in Indiana needs to fill out this form.

Q: Is there a fee for this application?
A: Yes, there is a fee associated with submitting Form 49621.

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Form Details:

  • Released on March 1, 2000;
  • The latest edition provided by the Indiana State Department of 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 State Form 49621 by clicking the link below or browse more documents and templates provided by the Indiana State Department of Health.

Download State Form 49621 Application for License to Operate a Blood Center Pursuant to Ic 16-41-12 - Indiana

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  • State Form 49621 Application for License to Operate a Blood Center Pursuant to Ic 16-41-12 - Indiana

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  • State Form 49621 Application for License to Operate a Blood Center Pursuant to Ic 16-41-12 - Indiana, Page 1
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