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Form HFS3864 Screening Verification Form - Illinois
What Is Form HFS3864?
This is a legal form that was released by the Illinois Department of Healthcare and Family Services - 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 the purpose of Form HFS3864?A: The purpose of Form HFS3864 is to verify screening information for individuals in Illinois.
Q: Who needs to fill out Form HFS3864?A: Any individual in Illinois that requires screening verification must fill out Form HFS3864.
Q: How can I obtain Form HFS3864?A: Form HFS3864 can be obtained from the Illinois Department of Healthcare and Family Services.
Q: What information is required on Form HFS3864?A: Form HFS3864 requires personal information such as name, address, and social security number, as well as details regarding screenings and verifications.
Q: What should I do with the completed Form HFS3864?A: The completed Form HFS3864 should be submitted to the appropriate healthcare or family services agency in Illinois.
Q: Is there a fee for submitting Form HFS3864?A: No, there is no fee for submitting Form HFS3864.
Form Details:
- Released on June 1, 2008;
- The latest edition provided by the Illinois Department of Healthcare and Family Services;
- 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 HFS3864 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Illinois Department of Healthcare and Family Services.
