Illinois dph agency 2026

1. Click ‘Get Form’ to open the Illinois Department of Public Health Home Health, Home Services, and Home Nursing Agency Initial Licensure Application in our editor.
2. Begin by filling out the 'General Information' section. Enter your agency name, address, phone number, and email. Ensure all details are accurate for smooth processing.
3. In the 'Ownership' section, select your type of organization from the drop-down menu. Provide the legal owner's name and contact information.
4. Complete the 'Governing Body' section by listing the officers of your agency. Make sure to include their names and addresses.
5. For agencies applying for multiple licenses, ensure you check all applicable agency types at the beginning of the form.
6. Review each section carefully before submitting. Use our platform's features to save your progress and make edits as needed.

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