Form F-47470 Change of EMS Medical Director - Wisconsin

Form F-47470 Change of EMS Medical Director - Wisconsin

What Is Form F-47470?

This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form F-47470?A: Form F-47470 is a Change of EMS Medical Director form in Wisconsin.

Q: What is the purpose of Form F-47470?A: The purpose of Form F-47470 is to notify the Wisconsin Department of Health Services about a change in the EMS Medical Director.

Q: Who needs to complete Form F-47470?A: The EMS agency or organization that has experienced a change in the EMS Medical Director needs to complete Form F-47470.

Q: What information is required on Form F-47470?A: Form F-47470 requires information about the EMS agency or organization, the outgoing EMS Medical Director, the incoming EMS Medical Director, and the effective date of the change.

Q: Is there a fee associated with submitting Form F-47470?A: No, there is no fee associated with submitting Form F-47470.

Q: Are there any additional documents that need to be submitted with Form F-47470?A: No, there are no additional documents that need to be submitted with Form F-47470.

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Form Details:

  • Released on February 1, 2022;
  • The latest edition provided by the Wisconsin Department of Health 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 F-47470 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

Download Form F-47470 Change of EMS Medical Director - Wisconsin

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  • Form F-47470 Change of EMS Medical Director - Wisconsin, Page 1
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