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!["Living Will Form" - Illinois](https://data.templateroller.com/pdf_docs_html/1929/19296/1929631/living-will-illinois.png ""Living Will Form" - Illinois")
"Living Will Form" - Illinois
Size: 91 KB
1 page
This form serves the purpose of determining major health care-related decisions in the state of Illinois in case the person becomes temporarily or permanently severely disabled and is no longer able to make decisions.
![PCO Form 15 "Structural Pest Control Certificate of Insurance" - Illinois](https://data.templateroller.com/pdf_docs_html/1800/18001/1800126/pco-form-15-structural-pest-control-certificate-insurance-illinois.png "PCO Form 15 "Structural Pest Control Certificate of Insurance" - Illinois")
![Form TI "Application for Registry Identification Card" - Illinois](https://data.templateroller.com/pdf_docs_html/2024/20246/2024645/form-ti-application-for-registry-identification-card-illinois.png "Form TI "Application for Registry Identification Card" - Illinois")
![Form CG "Application for a Designated Caregiver Registry Identification Card Attestation" - Illinois](https://data.templateroller.com/pdf_docs_html/2024/20246/2024630/form-cg-application-for-a-designated-caregiver-registry-identification-card-attestation-illinois.png "Form CG "Application for a Designated Caregiver Registry Identification Card Attestation" - Illinois")
![Form MQP "Application for Registry Identification Card for Qualifying Patients Under 18 Years of Age and Their Designated Caregiver" - Illinois](https://data.templateroller.com/pdf_docs_html/2024/20246/2024631/form-mqp-application-for-registry-identification-card-for-qualifying-patients-under-18-years-of-age-and-their-designated-caregiver-illinois.png "Form MQP "Application for Registry Identification Card for Qualifying Patients Under 18 Years of Age and Their Designated Caregiver" - Illinois")
![Formulario VR280 "Solicitud De Acta De Defuncion De Illinois" - Illinois (Spanish)](https://data.templateroller.com/pdf_docs_html/2227/22271/2227168/formulario-vr280-solicitud-de-acta-de-defuncion-de-illinois-illinois-spanish.png "Formulario VR280 "Solicitud De Acta De Defuncion De Illinois" - Illinois (Spanish)")
Formulario VR280 "Solicitud De Acta De Defuncion De Illinois" - Illinois (Spanish)
Size: 138 KB
2 pages
![Formulario VR180 "Solicitud De Acta De Nacimiento De Illinois" - Illinois (Spanish)](https://data.templateroller.com/pdf_docs_html/2227/22271/2227160/formulario-vr180-solicitud-de-acta-de-nacimiento-de-illinois-illinois-spanish.png "Formulario VR180 "Solicitud De Acta De Nacimiento De Illinois" - Illinois (Spanish)")
Formulario VR180 "Solicitud De Acta De Nacimiento De Illinois" - Illinois (Spanish)
Size: 136 KB
2 pages
![Formulario VR181 "Solicitud De Acta De Nacimiento De Illinois De Una Persona Fallecida" - Illinois (Spanish)](https://data.templateroller.com/pdf_docs_html/2227/22271/2227163/formulario-vr181-solicitud-de-acta-de-nacimiento-de-illinois-de-una-persona-fallecida-illinois-spanish.png "Formulario VR181 "Solicitud De Acta De Nacimiento De Illinois De Una Persona Fallecida" - Illinois (Spanish)")
![Form VR180 "Application for Illinois Birth Record" - Illinois](https://data.templateroller.com/pdf_docs_html/2262/22629/2262915/form-vr180-application-for-illinois-birth-record-illinois.png "Form VR180 "Application for Illinois Birth Record" - Illinois")
![Form VR181 "Application for Illinois Birth Record of Deceased Individual" - Illinois](https://data.templateroller.com/pdf_docs_html/2262/22629/2262910/form-vr181-application-for-illinois-birth-record-of-deceased-individual-illinois.png "Form VR181 "Application for Illinois Birth Record of Deceased Individual" - Illinois")
Form VR181 "Application for Illinois Birth Record of Deceased Individual" - Illinois
Size: 162 KB
2 pages
![Form VR-700 "Certificate of Dissolution of Marriage/Civil Union or Legal Separation" - Illinois](https://data.templateroller.com/pdf_docs_html/2415/24158/2415836/form-vr-700-certificate-of-dissolution-of-marriage-civil-union-or-legal-separation-illinois.png "Form VR-700 "Certificate of Dissolution of Marriage/Civil Union or Legal Separation" - Illinois")
![Formulario VR111 "Disposicion De Defuncion Fetal - Formulario De Notificacion" - Illinois (Spanish)](https://data.templateroller.com/pdf_docs_html/2227/22271/2227159/formulario-vr111-disposicion-de-defuncion-fetal-formulario-de-notificacion-illinois-spanish.png "Formulario VR111 "Disposicion De Defuncion Fetal - Formulario De Notificacion" - Illinois (Spanish)")
![Form VR200 "Certificate of Death" - Illinois](https://data.templateroller.com/pdf_docs_html/89/897/89751/form-vr-200-certificate-death-illinois.png "Form VR200 "Certificate of Death" - Illinois")
![Form VR171 "Affidavit by Biological Mother" - Illinois](https://data.templateroller.com/pdf_docs_html/2024/20246/2024629/form-vr171-affidavit-by-biological-mother-illinois.png "Form VR171 "Affidavit by Biological Mother" - Illinois")
![Form VR172 "Affidavit by Biological Father" - Illinois](https://data.templateroller.com/pdf_docs_html/1803/18037/1803785/form-vr172-affidavit-by-biological-father-illinois.png "Form VR172 "Affidavit by Biological Father" - Illinois")
![Instructions for Form VR161, IL482-1014 "Llinois Adoption Registry and Medical Information Exchange (Iarmie) Application" - Illinois](https://data.templateroller.com/pdf_docs_html/1814/18140/1814082/instructions-for-form-vr161-il482-1014-llinois-adoption-registry-and-medical-information-exchange-iarmie-application-illinois.png "Instructions for Form VR161, IL482-1014 "Llinois Adoption Registry and Medical Information Exchange (Iarmie) Application" - Illinois")
![Formulario VR181-A "Solicitud De Busqueda De Archivos De Nacimiento De Un Bebe Difunto" - Illinois (Spanish)](https://data.templateroller.com/pdf_docs_html/2227/22271/2227162/formulario-vr181-a-solicitud-de-busqueda-de-archivos-de-nacimiento-de-un-bebe-difunto-illinois-spanish.png "Formulario VR181-A "Solicitud De Busqueda De Archivos De Nacimiento De Un Bebe Difunto" - Illinois (Spanish)")
![Form VR161.8 (IL482-1020) "Denial of Information Exchange" - Illinois](https://data.templateroller.com/pdf_docs_html/570/5706/570688/form-vr161-8-il482-1020-denial-of-information-exchange-illinois.png "Form VR161.8 (IL482-1020) "Denial of Information Exchange" - Illinois")
![Formulario VR161.8 "Negacion De Intercambio De Datos - Registro De Adopciones Del Estado De Illinois" - Illinois (Spanish)](https://data.templateroller.com/pdf_docs_html/2227/22271/2227152/formulario-vr161-8-negacion-de-intercambio-de-datos-registro-de-adopciones-del-estado-de-illinois-illinois-spanish.png "Formulario VR161.8 "Negacion De Intercambio De Datos - Registro De Adopciones Del Estado De Illinois" - Illinois (Spanish)")
![Formulario VR161.7 (IL482-1017) "Autorizacion Para El Intercambio De Datos" - Illinois (Spanish)](https://data.templateroller.com/pdf_docs_html/2227/22271/2227151/formulario-vr161-7-il482-1017-autorizacion-para-el-intercambio-de-datos-illinois-spanish.png "Formulario VR161.7 (IL482-1017) "Autorizacion Para El Intercambio De Datos" - Illinois (Spanish)")
![Form VR161.7 (IL482-1017) "Adoption Registry Information Exchange Authorization" - Illinois](https://data.templateroller.com/pdf_docs_html/2262/22628/2262879/form-vr161-7-il482-1017-adoption-registry-information-exchange-authorization-illinois.png "Form VR161.7 (IL482-1017) "Adoption Registry Information Exchange Authorization" - Illinois")
![Form IOCI16-29 "Childhood Lead Risk Questionnaire" - Illinois](https://data.templateroller.com/pdf_docs_html/1814/18140/1814096/form-ioci-16-29-childhood-lead-risk-questionnaire-illinois.png "Form IOCI16-29 "Childhood Lead Risk Questionnaire" - Illinois")
![Form IOCI12-12 "Emergency Medical Services (EMS) Systems Equipment Waiver Request" - Illinois](https://data.templateroller.com/pdf_docs_html/1814/18140/1814030/form-ioci-12-12-emergency-medical-services-ems-systems-equipment-waiver-request-illinois.png "Form IOCI12-12 "Emergency Medical Services (EMS) Systems Equipment Waiver Request" - Illinois")
![Form XXXXX "Renewal Application for Postsurgical Recovery Care Center License" - Illinois](https://data.templateroller.com/pdf_docs_html/1813/18139/1813985/form-xxxxx-renewal-application-postsurgical-recovery-care-center-license-illinois.png "Form XXXXX "Renewal Application for Postsurgical Recovery Care Center License" - Illinois")
![Form IOCI16-82 "Emergency Medical Services (EMS) Systems Aircraft Inspection Form" - Illinois](https://data.templateroller.com/pdf_docs_html/1814/18140/1814040/form-ioci-16-82-emergency-medical-services-ems-systems-aircraft-inspection-form-illinois.png "Form IOCI16-82 "Emergency Medical Services (EMS) Systems Aircraft Inspection Form" - Illinois")
![Form IOCI16-60 "Emergency Medical Services (EMS) Systems Transport Provider Ambulance Application" - Illinois](https://data.templateroller.com/pdf_docs_html/1814/18140/1814036/form-ioci-16-60-emergency-medical-services-ems-systems-transport-provider-ambulance-application-illinois.png "Form IOCI16-60 "Emergency Medical Services (EMS) Systems Transport Provider Ambulance Application" - Illinois")
![Form IOCI16-60 "Emergency Medical Services (EMS) Systems Non-transport Provider Application" - Illinois](https://data.templateroller.com/pdf_docs_html/1814/18140/1814035/form-ioci-16-60-emergency-medical-services-ems-systems-non-transport-provider-application-illinois.png "Form IOCI16-60 "Emergency Medical Services (EMS) Systems Non-transport Provider Application" - Illinois")
![Form IOCI16-60 "Emergency Medical Services (EMS) Systems Non-transport Application for Existing Transport Provider" - Illinois](https://data.templateroller.com/pdf_docs_html/1814/18140/1814034/form-ioci-16-60-emergency-medical-services-ems-systems-non-transport-application-existing-transport-provider-illinois.png "Form IOCI16-60 "Emergency Medical Services (EMS) Systems Non-transport Application for Existing Transport Provider" - Illinois")
![Form IOCI16-60 "Emergency Medical Services (EMS) Systems Non-transport Inspection Form" - Illinois](https://data.templateroller.com/pdf_docs_html/1814/18140/1814031/form-ioci-16-60-emergency-medical-services-ems-systems-non-transport-inspection-form-illinois.png "Form IOCI16-60 "Emergency Medical Services (EMS) Systems Non-transport Inspection Form" - Illinois")
![Form IOCI15-31 "Emergency Medical Services (EMS) Authorization for Release of Information" - Illinois](https://data.templateroller.com/pdf_docs_html/1814/18140/1814023/form-ioci-15-31-emergency-medical-services-ems-authorization-release-information-illinois.png "Form IOCI15-31 "Emergency Medical Services (EMS) Authorization for Release of Information" - Illinois")
![Form XXXXX "Renewal Application for Community-Based Residential Rehabilitation Center License" - Illinois](https://data.templateroller.com/pdf_docs_html/1803/18037/1803708/form-xxxxx-renewal-application-community-based-residential-rehabilitation-center-license-illinois.png "Form XXXXX "Renewal Application for Community-Based Residential Rehabilitation Center License" - Illinois")
![Form IOCI20-165 "Board Membership Form" - Illinois](https://data.templateroller.com/pdf_docs_html/2024/20246/2024605/form-ioci20-165-board-membership-form-illinois.png "Form IOCI20-165 "Board Membership Form" - Illinois")
![Form IOCI19-643 "Clinical Supplies Requisition Form" - Illinois](https://data.templateroller.com/pdf_docs_html/2086/20865/2086517/form-ioci19-643-clinical-supplies-requisition-form-illinois.png "Form IOCI19-643 "Clinical Supplies Requisition Form" - Illinois")
![Form IOCI19-599 "Childhood Lead Risk Questionnaire" - Illinois](https://data.templateroller.com/pdf_docs_html/2024/20246/2024628/form-ioci19-599-childhood-lead-risk-questionnaire-illinois.png "Form IOCI19-599 "Childhood Lead Risk Questionnaire" - Illinois")
![Form IOCI18-384 "Annual Report of Public Health Dental Hygienist Services and Location of Work" - Illinois](https://data.templateroller.com/pdf_docs_html/1814/18141/1814126/form-ioci-18-384-annual-report-public-health-dental-hygienist-services-and-location-work-illinois.png "Form IOCI18-384 "Annual Report of Public Health Dental Hygienist Services and Location of Work" - Illinois")
![Form 443086 "Project Submission Form for Long Term Care Facilities" - Illinois](https://data.templateroller.com/pdf_docs_html/1814/18141/1814120/form-443086-project-submission-form-long-term-care-facilities-illinois.png "Form 443086 "Project Submission Form for Long Term Care Facilities" - Illinois")
![Form 443086 "Project Submission Form for Ambulatory Surgical Treatment Center" - Illinois](https://data.templateroller.com/pdf_docs_html/1803/18037/1803717/form-443086-project-submission-form-ambulatory-surgical-treatment-center-illinois.png "Form 443086 "Project Submission Form for Ambulatory Surgical Treatment Center" - Illinois")
![PCO Form 1984-3 (IL482-154) "Structural Pest Control Certification Application Re-examination" - Illinois](https://data.templateroller.com/pdf_docs_html/1803/18038/1803817/pco-form-1984-3-il482-154-structural-pest-control-certification-application-re-examination-illinois.png "PCO Form 1984-3 (IL482-154) "Structural Pest Control Certification Application Re-examination" - Illinois")
![Form 443086 "Project Submission Form for Hospitals" - Illinois](https://data.templateroller.com/pdf_docs_html/2262/22628/2262898/form-443086-project-submission-form-for-hospitals-illinois.png "Form 443086 "Project Submission Form for Hospitals" - Illinois")
![PCO Form 1984-5 (IL482-0156) "Structural Pest Control License Application - Commercial Business" - Illinois](https://data.templateroller.com/pdf_docs_html/1801/18012/1801265/pco-form-1984-5-il482-0156-structural-pest-control-license-application-commercial-business-illinois.png "PCO Form 1984-5 (IL482-0156) "Structural Pest Control License Application - Commercial Business" - Illinois")