Annual Facility Questionnaires - Inventories & DataAnnual Facility Questionnaires - Inventories & Da 2026

1. Click ‘Get Form’ to open the Annual Facility Questionnaire in the editor.
2. Begin with Section I, where you will provide facility information such as IDPH License Number, Facility Name, and Address. Ensure all fields are filled accurately.
3. Proceed to Section II, which requires financial and capital expenditure data. Report for the most recent fiscal year available, ensuring you have your financial records ready.
4. Complete the Contact and Certification fields on page 19. This is crucial; incomplete fields may lead to rejection of your submission.
5. Review all sections for accuracy before finalizing. Use our platform’s tools to edit or add any necessary information easily.
6. Once completed, download the form and attach it to an email addressed to DPH.FacilitySurvey@illinois.gov with 'Annual Hospital Questionnaire' in the subject line.

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