Forms & Documents
Browse all Department of Public Health government forms
141 - 160 of 534 forms
| Form Title | Topics |
|---|---|
| EMS Independent Renewal | EMS Licensing, EMS Licensing |
| EMS License Fee Waiver Application | EMS Licensing, EMS Licensing |
| EMS License Reinstatement | EMS Licensing, EMS Licensing |
| EMS License Renewal Brochure | EMS Licensing, EMS Licensing |
| EMS Military Licensure Request | EMS Licensing, EMS Licensing |
| EMS Non-Transport Application for Existing Transport Provider | EMS Provider and Vehicle Licensing, EMS Provider and Vehicle Licensing |
| EMS Non-Transport Inspection Form Provider | EMS Provider and Vehicle Licensing, EMS Provider and Vehicle Licensing |
| EMS Non-Transport Provider Application | EMS Provider and Vehicle Licensing, EMS Provider and Vehicle Licensing |
| EMS Reactivation Request | EMS Licensing, EMS Licensing |
| EMS Reciprocity Application | EMS Licensing, EMS Licensing |
| EMS Renewal Notice | EMS Licensing, EMS Licensing |
| EMS Special Events Request Application | EMS Provider and Vehicle Licensing, EMS Provider and Vehicle Licensing |
| EMS StretcherVan Inspection Form | EMS Provider and Vehicle Licensing, EMS Provider and Vehicle Licensing |
| EMS Systems Fee Schedule | EMS Licensing, EMS Licensing |
| EMS Sytem Plan Modification | EMS Provider and Vehicle Licensing, EMS Provider and Vehicle Licensing |
| EMS Testing Reasonable Accommodation Request | Ems Personnel And Ambulance Licensing And Inspection, EMS Personnel And Ambulance Licensing And Inspection |
| EMS Training Program Application | Ems Personnel And Ambulance Licensing And Inspection, EMS Personnel And Ambulance Licensing And Inspection |
| EMS Transport Provider Application | EMS Provider and Vehicle Licensing, EMS Provider and Vehicle Licensing |
| End Stage Renal Dialysis Facility Medicare Certification | End Stage Renal Dialysis |
| Examination Application for State Closed Loop Certification | Private Water And Closed Loop Wells |
Contact Information & Office Locations
All 3 contact points
Chicago Headquarters Offices
IDPH
Address:
122 S. Michigan Avenue
7th and 20th Floors
Chicago, IL 60603
- (312) 814-2793
Chicago Headquarters Offices
IDPH
Address:
69 W. Washington Street
35th Floor
Chicago, IL 60602
- (312) 814-5278
Springfield Headquarters Office
IDPH
Address:
525-535 West Jefferson Street
Springfield, IL 62761
- (217) 782-4977