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This document is for applying for pre-approval of hormone therapy medication assistance in Illinois through the Ryan White Part B ADAP Medication Assistance Program (MAP).
This form is used for applying for pre-approval of Mepron (Atovaquone) prescription that exceeds 21 days in the Ryan White Part B Adap Medication Assistance Program (Map) in Illinois.
This Form is used for applying for Stroke Center Designation in Illinois without national certification.
This form is used for applying for a swimming facility license in the state of Illinois.
This Form is used for re-examination of Structural Pest Control Certification in Illinois.
This Form is used for applying for a permit to construct a swimming facility in the state of Illinois.
This Form is used for contractors to apply for prequalification in order to participate in the Illinois Swimming Facility Program.
This form is used for architects and professional engineers to apply for prequalification in the swimming facility program in Illinois.
This form is used for vision rescreening in the state of Illinois. It assists in evaluating the vision of individuals and identifying any issues that may require further examination or treatment.
This form is used for applying for an original campground license in Illinois.
This form is used for reporting injuries and illnesses that occur in the state of Illinois. It is used to document and track incidents for worker's compensation purposes.
This document is used for obtaining a yellow fever vaccination stamp, which is required for international travel. It also includes a vaccination site agreement specifically for Illinois.
This document is a checklist specific to nursing homes in Illinois. It helps individuals and families assess and compare different facilities for their loved ones' care needs.
This document is used for reporting the construction of a water well in the state of Illinois. It provides instructions on how to complete the Water Well Construction Report form.
This form is used for obtaining consent for ordinary and routine medical and dental care in the state of Illinois.
This form is used for birth parents in Illinois to understand their rights and responsibilities in connection with adoption.
This document outlines the rights and responsibilities of birth parents in Illinois when giving final and irrevocable consent to adoption. It specifically applies to DCFS cases in Illinois.
This Form is used for parents in Illinois to provide detailed information about their child.
This form is used for documenting the rights of foster children and youth in the state of Illinois.
This document certifies that a home in Illinois has been inspected to ensure that it is free of unsafe children's products.
This form is used for certifying the inspection of facilities producing unsafe children's products in Illinois.
This document is used for ensuring the safety of children when they visit or share a placement with a parenting youth in Illinois. It includes additional safety checks that need to be completed.
This Form is used for reporting adoptive parent training curriculum by agencies in Illinois.
This form is used to request an updated background check for a licensed provider in Illinois.
This document is used for foster parents or relative caregivers in Illinois to give notice of the disclosure of identifying information.
This form is used for collecting the signatures of Child and Family Team Members in Illinois. It is an important document for documenting the involvement and agreement of team members in the case of a child and their family.
This form is used for referring individuals to Immigration Services in Illinois. It helps facilitate the process of seeking immigration assistance and connecting individuals with the appropriate resources.
This document is used for determining the language preference of Hispanic clients in the state of Illinois.
This form is used for applying for adoption assistance in the state of Illinois.
This form is used for applying for subsidized guardianship in the state of Illinois. It provides a way for individuals to request financial assistance when assuming the role of a guardian for a child.
This Form is used for creating a Subsidized Guardianship Agreement in Illinois. It outlines the terms and conditions for a subsidized guardianship arrangement.
This form is used for obtaining a license-exempt and unlicensed day care provider visitation in Illinois.
This document is a checklist used in Illinois for individuals applying for the 60+ Subsidy program, which provides financial assistance to low-income seniors.
Este formulario se utiliza para solicitar pagos relacionados con servicios de aborto en Illinois.
Este formulario se utiliza para solicitar una exención por dificultades en el estado de Illinois.