PDF
Word
Form IOCI16-156 Emergency Medical Services (EMS) Inactive Request - Illinois
What Is Form IOCI16-156?
This is a legal form that was released by the Illinois Department of Public Health - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is IOCI16-156?A: IOCI16-156 is an Emergency Medical Services (EMS) Inactive Request form.
Q: What does EMS stand for?A: EMS stands for Emergency Medical Services.
Q: What is an EMS Inactive Request?A: An EMS Inactive Request is a request to temporarily deactivate an EMS agency or service.
Q: Who can submit an EMS Inactive Request?A: The EMS agency or service can submit an EMS Inactive Request.
Q: Why would an EMS agency or service submit an Inactive Request?A: An EMS agency or service may submit an Inactive Request if they are temporarily unable to provide emergency medical services.
Q: Which state is this form for?A: This form is for Illinois.
Q: Is this form specific to a certain region in Illinois?A: No, this form is applicable to all regions in Illinois.
Q: Is there a fee for submitting an EMS Inactive Request?A: No, there is no fee for submitting an EMS Inactive Request.
Q: How long can an EMS agency or service be inactive?A: The maximum duration for an EMS agency or service to be inactive is 12 months.
Q: Can an EMS agency or service be inactive indefinitely?A: No, an EMS agency or service cannot be inactive indefinitely. It must be reactivated within 12 months or the agency's license will be closed and a new application will be required.
Form Details:
- The latest edition provided by the Illinois Department of Public 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 Form IOCI16-156 by clicking the link below or browse more documents and templates provided by the Illinois Department of Public Health.
