CNA - Illinois Department of Public Health 2026

1. Click ‘Get Form’ to open the CNA - Illinois Department of Public Health in the editor.
2. Begin with Section I, where you will enter the Facility Information. Fill in the Facility Name, Medicare Number, Address, City, County, and Telephone. Ensure all fields are completed accurately to avoid delays.
3. In Section II, list all nurse aides used by your facility. For each aide, provide their Name (Last, First), NAR Number, Street Address, City, Date of Hire, County, and Last Date Used. Be meticulous; incomplete entries may lead to processing issues.
4. Review all information for accuracy before submitting. Pay special attention to the 'Last Date Used' field—do not leave it blank or use 'current.'

Start using our platform today for free to streamline your form completion process!