State Form 55444 Administrator or Director of Nursing Change - Indiana

State Form 55444 Administrator or Director of Nursing Change - Indiana

What Is State Form 55444?

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 State Form 55444?
A: State Form 55444 is a form used in Indiana.

Q: What is the purpose of State Form 55444?
A: State Form 55444 is used to request a change of Administrator or Director of Nursing in Indiana.

Q: Who can use State Form 55444?
A: Facilities in Indiana that need to change their Administrator or Director of Nursing can use State Form 55444.

Q: Are there any fees associated with State Form 55444?
A: No, there are no fees associated with State Form 55444.

Q: Is State Form 55444 specific to Indiana?
A: Yes, State Form 55444 is specific to Indiana.

Q: What information is required on State Form 55444?
A: State Form 55444 requires information about the facility, new Administrator or Director of Nursing, and the effective date of the change.

Q: Are there any deadlines for submitting State Form 55444?
A: There are no specific deadlines mentioned for submitting State Form 55444, but it is recommended to submit the form in a timely manner before the change occurs.

Q: Who should I contact for assistance with State Form 55444?
A: For assistance with State Form 55444, you can contact the Indiana State Department of Health or your local health department.

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Form Details:

  • Released on April 1, 2018;
  • 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 55444 by clicking the link below or browse more documents and templates provided by the Indiana State Department of Health.

Download State Form 55444 Administrator or Director of Nursing Change - Indiana

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  • State Form 55444 Administrator or Director of Nursing Change - Indiana, Page 1
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