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.
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.
Form Details:
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.