HB 5124 Provider Survey-2025

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  1. Click ‘Get Form’ to open the HB 5124 Provider Survey in our editor.
  2. Begin with the 'General Background' section. Here, provide information about your organization and its contracts with the relevant Illinois agencies.
  3. Move on to the 'Financial Information' section. Fill in your organization's FY11 budget and indicate any state departments from which you receive funding.
  4. In the 'Organizational/Governance Information' section, specify required documents such as by-laws and board materials. Ensure all fields are completed accurately.
  5. Proceed to the 'Administrative/Human Resources Information' section. Provide details about personnel handbooks and job descriptions as required.
  6. Complete the 'Program Information' section by detailing quality assurance measures and client rights policies.
  7. Finally, review all sections for completeness before submitting. You can save your progress and return later if needed until you click ‘done’.

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