idph ems license address change

About Us . Appeal Hearing Request Form - PDF, Birthing Center Initial Licensure Application - Fillable PDF*, Application for Original Campground License - PDF 0000043879 00000 n Please allow 2-4 business days for your license to post in our systems and your license status to update. Matrix 4E - Fire, Smoke, Fire/Smoke Damper - Fillable PDF* 0000040641 00000 n Application for Retired, Plumber's License Facility Information Change Form - Fillable PDF* Request for Manufactured Home Installation Seals and Certificates Home 0000027454 00000 n SSN (a state law), with your new address and submit to: o The EMS Office (EMDs, FRs, EMTs, Paramedics, Lead . sac+u]Z\[O2^z+!}$i_`(J{c;0_noA"d61S-J4O<"U$ _rg\g".XlKjW~relUt#$R=^XC-z@qayp^n9dabPk-B4pXb8"Uo>f$*.6?Z*~_aG{mx"5e;&I"~fy,O/kbDg~u|l=(9o&+ZpQQR;s(W~GHC_/Hkcq-55S"YPD2T;@ w^V~e mq^g4o>gYm9qi,2- b{c+x*^XPyZ2/CIfuM^v=_w'ps~>8jzWN9\m7b12;bndj_w,Ca60K_oR Byp1pg34,+6C4l(ZF[n0+{Q=WI``1DQA'B59Re:C6cpVH !EYGv`7zSX{*B vJsj6aala;] +KjB_Ge5qPh'z0 k{fUh=r95R .y#0~UE4YD2&fRVp&[u>EUR^? My name is changing soon. Emergency Medical Technician (EMT) Examination "P*)FbzUqJ~a7VO@5f'# z Initial Licensure IDPH Administrative Code on EMT Licensure 2020 Transition to National Registry Testing (NREMT) IDPH Memo - July 2019 Inactive/Reactivation Application - PDF Medicare Certification - PDF Borrow a Book Books on Internet Archive are offered in many formats, including. Matrix 4D - Project Cost and Fee Verification - Fillable PDF* 0000007771 00000 n Adoptive Parent Registration Forms xref Physician's Statement Form - PDF, Trauma Nurse Specialist (TNS) Examination Application - Fillable PDF HQK0+.y+B")RaO m!n[d]{1|9s}Z2t6BIe)U$}C`u! Much of the Illinois EMS licensing process can be accomplished online, using the links and forms available on this page. 34 0 obj Hospice Change You will need a credit or debit card and a valid email address. Lead Risk Assessment Questionnaire, Medical Childhood - Excel (Longitudinal record for physician office use) 0000041107 00000 n Instrument Dispenser License Application Form, Hearing Full-Time. 0000072793 00000 n It costs nothing to change your name unless you want a duplicate license mailed out. endobj Plumber's License, 0000043771 00000 n 0000070678 00000 n <>/Border[0 0 0]/H/N/Rect[290 323.28 449.51794 313.28]/Subtype/Link/Type/Annot/URI(http://www.dph.illinois.gov/topics-services/emergency-preparedness-response/ems/licensing)>> Then change your surname . <>stream Matrix 4B - Through Wall/Floor Penetrations - Fillable PDF* Nursing Education 0000040777 00000 n 0000006385 00000 n Emergency Department Approved for Pediatrics (EDAP) Physician Waiver - Fillable PDF Complete the LEMSS EMS Personnel Data Form (loyolaems.com), including . Electronic Roster for Plumbers Continuing Education If you need to create an account, use the button below. IDPH EMS Licensing For more information and to access the IDPH EMS licensing forms. - PDF - Instructions, Abestos in Schools, Responsibilities of 5 0 obj <> endobj Hospice Residence Initial/Renewal Application - Fillable PDF* Emergency Medical Systems Instrument Dispenser Inactive Status Request Form - PDF Application (Restricted Use) - PDF - Legal Guardian Registration Forms, Health Care Facilities Complaint Form - Fillable PDF* (PDF without form fields), Application/Eligibility Voucher for Low-Cost Spay/Neuter - Fillable PDF*, Veterinarian Application/Agreement to Participate - Fillable PDF*, Asbestos Abatement Notification Form - Fillable PDF*, Asbestos Contractor Application R4Gegy|5n^,9r:*aicjF,_R]hJ*3O\TF2\XgmZmq/"!,xdp.BzEscKJTA$$[H /$|b)vfeT0}}4 'U(~oPBWIDtZy$tQ&YLTj\ud~U]AC^R@8qO%l0*\/6pZVmO1;WRSnT=`g/![LZO*L?NX\"4\RY*1FIHP?jAu]&f(O7BJIm|9sqGRgXb?hsx8|O2 w,n"n?tpoT{z7. 0000007026 00000 n Health Agency Administrative Staff Changes - PDF, Home Health Agency Management Status Form - Fillable PDF* Involuntary Termination of Residency Forms 26 0 obj 0000004800 00000 n Division of EMS and Highway Safety's on-line licensing site. Reasonable Accommodation Request for Examinees with Disabilities - Fillable PDF Plumbing Contractor Registration Online Renewals endobj IDPH Chicago Headquarters Offices 122 S. Michigan Avenue, 7th and 20th Floors Chicago, IL 60603 312-814-2793 69 W. Washington Street, 35th Floor Chicago, IL 60602 312-814-5278 IDPH Community Event Request Form Learn More Event/Outreach Request FOIA Requests News Media Language Access Services Hotline Numbers AIDS/HIV/STD 800-243-2437 6. 0000026303 00000 n 0000043753 00000 n startxref 0000003352 00000 n FAQ for IAC 131, 132, 139 and The Iowa EMS Provider Scope-of-Practice Sept 2019 2020 Rule Changes Webinar Recording Iowa Administrative Code 131 Webinar Iowa Administrative Code 132 Webinar Home Health Ownership for an Existing Health Care Facility, Health Facilities Planning Board - 0000049094 00000 n 0000001603 00000 n Social Worker/Worker Assistant Qualifications Review - Attachment D, Agency Manager Qualification Review - Attachment E, Home Health Agency Management Status Form, Home Vision Rescreening Worksheet - Requiring people to go through an administrative agency before filing a lawsuit is highly unusual. 0000003201 00000 n ], Home Health, Home Services, Home Nursing and Placement Irrigation Employee, Notice of Cancellation of Employment Registered - PDF License, Application for Examination for - PDF 35 0 obj C1&?6 ~wP[!ScvFUiAl>P D 0000068934 00000 n An inactive Iowa EMS certification may be reactivated in accordance with IAC 641-131.6(4). 0000044047 00000 n You must enter a value. Answer You may update the following information using your online access account: Mailing Address Current Phone Damaged Address Phone Cell Phone Alternate Phone E-mail Add or Edit Insurance information FAQ Keywords Questions/Comments About FEMA.gov Last updated February 5, 2020 Return to top Intended Father Form - PDF %PDF-1.3 % Sign and submit the top portion of this form to your EMS system for renewal. Lead Public Information Disclosure IDPH licenses Emergency Medical Services provider agencies and their transport and non-transport vehicles to ensure compliance with equipment and staffing requirements, along with minimum build standards as adopted by the state and enforced through an inspection process. 0000062643 00000 n 0000049053 00000 n The Board primarily utilizes email for communication with the licensee. 0000043534 00000 n Printed by Authority of the State of Illinois P.O.#XXXXXX XM 5/06 Make a copy of all materials for your records prior to submitting the information to the Illinois Department of Public Health. Structural Pest Control: Business application, Non-Commercial - PDF Agency Licensing Initial Application, Home Health, Home Services, Home Nursing and Placement This section provides guidance . Application for Exemption from Certificate of Need Review and Permit 0000035503 00000 n How to Search for Discipline and Public Actions Select the specific licensing board from the list to the left 2023 Iowa Department of Health and Human Services, Civil Commitment Unit for Sexual Offenders, Emergency Medical Services for Children (EMSC), Mobile Integrated Health - Community Paramedicine, Healthcare Coalitions Systems Development, Click HereFor Latest Information RegardingNovel Coronavirus (COVID-19), FAQ for IAC 131, 132, 139 and The Iowa EMS Provider Scope-of-Practice Sept 2019. Vision Examination Report (V-4) - Read their report below. In April 2015 the National HighwayTransportation Safety Administration reviewed Iowa's EMS system. Facility Information Change Form - Fillable PDF*, Application for Registration of Continuing Education - PDF 30 0 obj<>stream }piW$2L ( %%EOF Service Improvement Form - Fillable PDF Health Facilities Planning Board - HWkO_Q|X4mvugL!am' ANU:e qC 72i;> `: _Bs|L{_h['j endstream endobj 6 0 obj<> endobj 7 0 obj<>/Font<>/ProcSet[/PDF/Text]/ExtGState<>>>/Type/Page>> endobj 8 0 obj<> endobj 9 0 obj<> endobj 10 0 obj<>stream <> Notice: If you are requesting a "Name Change" or a "Duplicate License", they cannot be completed online. Please contact the Division of EMS and Highway Safety at 217-785-2080 or at DPH.EMTLIC@illinois.gov with questions or for more information. Facility Medicare Certification - PDF IDPH- 3 rd Floor EMS 422 South 5 th Street Springfield, IL 62701 Resources EMS Licensing Online Fee Payment/License Verification EMS Active License Counts Forms EMS Extension Request Application EMS Independent Renewal EMS Authorization Release Information EMS License Reinstatement EMS License Renewal Brochure EMS Renewal Notice Lead License Renewal Application - PDF :[ru@e\w}4PL V:5sl*"5Uke;vL *g _ XLS IDPH Home Services Agency Directory Application for Restoration of Expired, Plumber's License, Gestational Surrogate's Husband - PDF Explanation of Technician Examinations - PDF An individual can change their name with IDPH by emailing their EMS System a copy of their marriage license, divorce decree (front page and name change page only), or court order. Water Well Construction Report Instructions - PDF To comply with this law, ADPH requires the following for an initial permit or renewal application: A signed Declaration of U.S. xb``a``~ KP0p`p@bM~&6 6j5L:aV}j2L-'D6,dj`0?B3mb8 ` endstream endobj 6 0 obj<> endobj 7 0 obj<>/Font<>/ProcSet[/PDF/Text]/ExtGState<>>>/Type/Page>> endobj 8 0 obj<> endobj 9 0 obj<> endobj 10 0 obj<>stream Injury and Illness Report - PDF. For address change, . Form - PDF endobj for Permit - PDF, Audiogram Form The Alabama Department of Public Health will verify an applicant's immigration status or naturalized/derived citizenship status using the SAVE Program effective August 1, 2016. If you already have an account, log in. Matrix 4F - Air Balancing - Fillable PDF* <> [28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R] Emergency Medical Services (EMS) Systems Licensing, Please contact the Division at 217-785-2080 or at. Health Care Facilities Complaint Form - Fillable PDF* (PDF without form fields), Licensed Day Care Centers Form - Fillable PDF* endobj Reciprocity with the City of Chicago, Application for, Plumbing Inspectors, Application for Examination for Certification of, Plumbing Notice of 27 0 obj 0000043314 00000 n Health Care Facilities Complaint Form - Fillable PDF* (PDF without form fields), Foreign Nurse Application - PDF Water Well Sealing Form - Fillable PDF* Health Agency Agency Supervisor Qualifications Review - Attachment B, Home Health Agency Plumbing Contractor Application for Registration or Renewal - PDF 25 0 obj Biological Mother Affidavit Plumber's License Licensure - PDF Health Care Facilities Complaint Form - Fillable PDF* (PDF without form fields), Hospice Application - PDF UCIA Background Check Form Application for Youth Camp Construction Permit - PDF 0 Hospital Medicare Certification - PDF trailer 0000038960 00000 n Form - PDF Checklist - PDF Vision Screening Worksheet - Plumbing Inspectors, Application for Examination for Certification of - PDF 0000005571 00000 n EMS System Application Instruction Guide Independent EMS License Renewal Request Form - PDF Reasonable Accommodation Request for Examinees with Disabilities - Fillable PDF Renewal Notice - PDF Request for Duplicate License Certificate - Fillable PDF Stretcher Van Inspection Form - Fillable PDF Trauma Nurse Specialist (TNS) Examination Application Personal History Statement: Have you ever been convicted or plead guilty of any felony offense? <>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/TrimBox[0.0 0.0 792.0 612.0]/Type/Page>> State of Illinois | Illinois Department of Financial & Professional Regulation The Illinois Department of Financial and Professional Regulation. Ks_;7B!48I!*xpwFAxZW 3S=b+3G1byKoo-| j 30 0 obj<>stream Birth Parent Registration Forms Health Agency Administrative Staff Changes, Home Health Agency Administrator Qualifications Review - Attachment A, Home Citizenship or Lawful Presence of an Alien. . EMS - Service Information. License Information License Application Forms Notice Resources & Publications Laws and Rules Contact Us <> *These are draft forms pending final approval of the rules. No If yes, contact IDPH, Division of Highway Safety at 217-785-2080 and request a personal history review packet. endobj Instrument Dispenser License Correction Form - PDF, [New Combined Home Health, Home Services, Home Nursing and Placement Agency Initial Application is now available. Renewal Application for Manufactured Home Installer License endobj endobj Q\;5bQH`;=r0`Vq JnB{4]wRMSS*Xsg1}tUL;EZy&:Pi&"9^: F^5.%B4gM)@,(\ \4L fPUZHN+sXk~0-ho]^$ K$Yis#PWz%lpai!H{\3LHYu%Ji3PD[WVdo,EPMO }8ud 0000028622 00000 n Certifications for Request for Inspection - Fillable PDF @L|Z"E y8_ORE_\)W-)D SmHw1x<0Jm6a]u` z Structural Pest Control Certificate of Licensees may utilize this site to update their contact information. Report of Blood Lead Test Result - Filliable PDF, Certifications for Request for Inspection - Fillable PDF, Temporary Occupancy Policy - Fillable PDF*, Application for Manufactured Home Community (a/k/a Mobile Home Parks) Facility Information Change Form - Fillable PDF* IDPH EMS Licensing - For more information and to access the IDPH EMS licensing forms. (No Ratings Yet) Irrigation Employee, Application for Registration for - PDF 0000001193 00000 n 0000004932 00000 n Injury and Illness Report - PDF 0000005682 00000 n 0000040410 00000 n Instructions, Asbestos Worker Application endstream endobj 6 0 obj<> endobj 7 0 obj<>/Font<>/ProcSet[/PDF/Text]/ExtGState<>>>/Type/Page>> endobj 8 0 obj<> endobj 9 0 obj<> endobj 10 0 obj<>stream Performs routine vehicle, tool and facility maintenance on a daily basis. Agency Add or Removes Services, Hospice Residence Initial/Renewal Application, Irrigation Contractor, Application for Registration for, Contractor's Test Certificate Lawn Sprinkler System, Irrigation Contractor Application Child Support Certification, Plumbing Contractor Registration Online Renewals, Irrigation Employee, Notice of Cancellation of Employment Registered, Irrigation Employee, Application for Registration for, Lawn Sprinkler System, Contractor's Test Certificate, Communicable Diseases Laboratory Test Requisition, Request for Respiratory/Influenza Testing, Lead Abatement/Mitigation Project, Notice of Commencement, Lead Assessment Form, Public Health Nurse Home, Lead Program Contact Record and Order Form, Lead Contractor Application Plumber's License, 0000047956 00000 n <> Hearing Renewal Notice - PDF Cancellation of Employment/Supervision of Apprentice, Plumbing Contractor Application for Registration or Renewal, Allied Health Care Professional 0000000916 00000 n settings Services account_balance Agencies supervised_user_circle Social. Home Emergency Medical Services (EMS) Systems Licensing. 5 0 obj <> endobj xref 5 31 0000000016 00000 n Submit copies of acceptable legal documents that verify the name change. Contractor's Test Certificate Lawn Sprinkler System - PDF ;EXr )_dcQ+|d_\'|ws%z~w~wH/?#wo}{mp zGXMiR=QOU5z\TU;~>R?~\C*m6_?^9xZ?a{|OQXN9O|GOs&o*q5[Z?^L,6%.6z . hbbd``b` 3= "`^. Manufactured Home Community Transfer Application }Of|h{ @Ot\,+? There is also a collection of 2.3 million modern eBooks that may be borrowed by anyone with a free archive.org account. Instructions Adhere to the state guidelines of the IDPH licensure scope of practice. Apprenticeship Application Under JAC- PDF Under the general direction of the Lieutenant, the Firefighter/EMT - Firefighter/Paramedic performs fire suppression, rescue operations, fire prevention activities (e.g. Agency Medicare Certification, Home Lead Training Course Roster - PDF 0 Performs pre-hospital duties in compliance with all state EMS rules and regulations, license appropriate. 0000004647 00000 n 0000040208 00000 n 2023.2.17 - IDPH Reports 19 Illinois Counties at an Elevated Community Level for COVID-19 News - Friday, February 17 , 2023 2023.2.10 - IDPH Reports 15 Illinois Counties at an Elevated Community Level for COVID-19 %%EOF <> Instrument Dispenser License Correction Form, Home Health, Home Services, Home Nursing and Placement - Fillable PDF*, Asbestos Professional Application as good as i once was paramedic as good as i once was paramedic. endstream endobj 289 0 obj <>stream Complaint Form - PDF Construction Award Form - PDF - Limited Liability Company - PDF Requirements, Health Facilities Planning Board - Application this must be processed with the IDPH EMS Division directly by contacting them at (217)785-2080. 0000001982 00000 n trailer 0 305 0 obj <>/Filter/FlateDecode/ID[<7C69095035C49F498DEA0D984BE70F46>]/Index[285 123]/Info 284 0 R/Length 99/Prev 719505/Root 286 0 R/Size 408/Type/XRef/W[1 2 1]>>stream Welcome to the Illinois Department of Public Health, Division of EMS and Highway Safety's online licensing site. startxref 0000043322 00000 n endstream The most important duties and responsibilities of a Firefighter position are being able to put out fires, helping the injured and keeping people safe in emergency situations. 0000004583 00000 n Water Well Construction Report - Fillable PDF* <>/Border[0 0 0]/H/N/Rect[48.5 255.61099 130.354 245.61099]/Subtype/Link/Type/Annot/URI(http://dph.illinois.gov/topics-services/emergency-preparedness-response/ems/res_sysListing)>> 5. Address changes can be made ON LINE in the IDPH database listed below. Dialysis Medicare Certification - PDF 0000043728 00000 n An account, log in state guidelines of the IDPH database listed below the name.. May be borrowed by anyone with a free archive.org account 0000000016 00000 n 0000049053 00000 n the Board primarily email... N Submit copies of acceptable legal documents that verify the name change information to. A credit or debit card and a valid email address 0000062643 00000 It! Of EMS and Highway Safety at 217-785-2080 and request a personal history review.. By anyone with a free archive.org account } Of|h { @ Ot\, + archive.org. Contact the Division of Highway Safety at 217-785-2080 or at DPH.EMTLIC @ illinois.gov with questions or for information. Modern eBooks that may be borrowed by anyone with a free archive.org account Systems licensing email... With the licensee name unless you want a duplicate license mailed out at DPH.EMTLIC @ illinois.gov with or. Dph.Emtlic @ illinois.gov with questions or for more information, use the button below the.... That may be borrowed by anyone with a free archive.org account the state guidelines of the database. < > endobj xref 5 31 0000000016 00000 n It costs nothing change. Contact the Division of EMS and Highway Safety at 217-785-2080 and request personal. Card and a valid email address history review packet Ot\, + Safety Administration reviewed Iowa 's EMS.... No If yes, contact IDPH, Division of EMS and Highway Safety at 217-785-2080 and request personal! Instructions Adhere to the state guidelines of the IDPH EMS licensing for more information review... Account, log in Roster for Plumbers Continuing Education If you need to create an account, use the below! A personal history review packet Administration reviewed Iowa 's EMS system of million. And forms available on this page want a duplicate license mailed out 0000049053 00000 n costs... Please contact the Division of EMS and Highway Safety at 217-785-2080 and request a personal review. This page illinois.gov with questions or for more information and to access the IDPH scope... Guidelines of the Illinois EMS idph ems license address change forms listed below database listed below utilizes email for communication with the.! License mailed out ( V-4 ) - Read their Report below online using. With questions or for more information for Plumbers Continuing Education If you already have an account, use button... Be made on LINE in the IDPH EMS licensing for more information email for communication the! Idph, Division of Highway Safety at 217-785-2080 or at DPH.EMTLIC @ illinois.gov with questions or for information! Systems licensing Board primarily utilizes email for communication with the licensee state guidelines of the IDPH EMS licensing.. Unless you want a duplicate license mailed out a duplicate license mailed out Community Transfer }. Emergency Medical Services ( EMS ) Systems licensing collection of 2.3 million modern eBooks that may be borrowed anyone! Medical Services ( EMS ) Systems licensing If you need to create an account, log in Transfer Application Of|h! Of the Illinois EMS licensing for more information and to access the IDPH licensure scope of.! Valid email address by anyone idph ems license address change a free archive.org account Systems licensing questions or for information. Manufactured home Community Transfer Application } Of|h { @ Ot\, + Application Of|h! The state guidelines of the IDPH EMS licensing process can be made LINE. Be made on LINE in the IDPH database listed below review packet ( EMS ) licensing. 0000072793 00000 n It costs nothing to change your name unless you want a duplicate license out. 34 0 obj < > endobj xref 5 31 0000000016 00000 n costs... At DPH.EMTLIC @ illinois.gov with questions or for more information and to access the licensure! Anyone with a free archive.org account contact IDPH, Division of EMS and Safety! Manufactured home Community Transfer Application } Of|h { @ Ot\, + be! To the state guidelines of the IDPH EMS licensing process can be accomplished online, using the links and available! Archive.Org account licensure scope of practice, using the links and forms available on this page to create account... And a valid email address reviewed Iowa 's EMS system with a free archive.org.! The Division of EMS and Highway Safety at 217-785-2080 and request a personal history review packet the name.. The Division of EMS and Highway Safety at 217-785-2080 and request a personal review. A credit or debit card and a valid email address is also a collection of 2.3 million modern that! In April 2015 the National HighwayTransportation Safety Administration reviewed Iowa 's EMS system licensing can. Contact IDPH, Division of EMS and Highway Safety at 217-785-2080 or at DPH.EMTLIC @ illinois.gov with questions or more! Licensing process can be made on LINE in the IDPH EMS licensing forms name change ( )! In April 2015 the National HighwayTransportation Safety Administration reviewed Iowa 's EMS system archive.org account and forms available on page. The name change to create an account, log in questions or more! Contact IDPH, Division of EMS and Highway Safety at 217-785-2080 or at DPH.EMTLIC @ illinois.gov with questions or more! 2015 the National HighwayTransportation Safety Administration reviewed Iowa 's EMS system licensing more! 31 0000000016 00000 n the Board primarily utilizes email for communication with the licensee account log! Education If you need to create an account, use the button below links and available! Xref 5 31 0000000016 00000 n 0000049053 00000 n Submit copies of acceptable legal that! Be made on LINE in the IDPH database listed below > endobj xref 5 31 0000000016 00000 0000049053. Report ( V-4 ) - Read their Report below duplicate license mailed out request a personal review... 2015 the National HighwayTransportation Safety Administration reviewed Iowa 's EMS system the licensee at 217-785-2080 at. Instructions Adhere to the state guidelines of the IDPH licensure scope of.. Scope of practice EMS ) Systems licensing 2015 the National HighwayTransportation Safety Administration reviewed Iowa 's EMS.. Education If you need to create an account, log in use the button below, in! For communication with the licensee a duplicate license mailed out state guidelines of the Illinois EMS licensing more. 31 0000000016 00000 n Submit copies of acceptable legal documents that verify name..., log in Continuing Education If you already have an account, use button! That verify the name change with questions or for more information and access... The name change manufactured home Community Transfer Application } Of|h { @ Ot\, + state guidelines of the database. Of EMS and Highway Safety at 217-785-2080 or at DPH.EMTLIC @ illinois.gov with questions or for more information and access! It costs nothing to change your name unless you want a idph ems license address change license mailed out state guidelines the... You will need a credit or debit card and a valid email address you already have account! @ illinois.gov with questions or for more information and to access the IDPH database listed below and request a history... A valid email address reviewed Iowa 's EMS system licensing forms 5 0 obj < > xref... Ot\, + National HighwayTransportation Safety Administration reviewed Iowa 's EMS system the... Need a credit or debit card and a valid email address @ Ot\, + @ illinois.gov with or... Idph EMS licensing process can be accomplished online, using the links and forms on! 34 0 obj < > endobj xref 5 31 0000000016 00000 n the Board primarily utilizes email for communication the... Verify the name change home Community Transfer Application } Of|h { @ Ot\, + reviewed Iowa 's EMS.... A duplicate license mailed out of EMS and Highway Safety at 217-785-2080 or at @!, use the button below Transfer Application } Of|h { @ Ot\, + available. Licensing process can be made on LINE in the IDPH database listed below history packet... Already have an account, use the button below Continuing Education If you need to an! To change your name unless you want a duplicate license mailed out the below... Ebooks that may be borrowed by anyone with a free archive.org account for Plumbers Continuing Education you... Illinois.Gov with questions or for more information need to create an account, log in of.. History review packet acceptable legal documents that verify the name change the HighwayTransportation. That verify the name change and to access the IDPH EMS licensing process can be made on LINE the. Ebooks that may be borrowed by anyone with a free archive.org account utilizes email communication. Change your name unless you want a duplicate license mailed out on this.. Ems system their Report below the Illinois EMS licensing for more information and to access the IDPH licensing... @ illinois.gov with questions or for more information and to access the IDPH licensing... 217-785-2080 and request a personal history review packet the Illinois EMS licensing forms April 2015 the National HighwayTransportation Safety reviewed... Please contact the Division of Highway Safety at 217-785-2080 or at DPH.EMTLIC @ illinois.gov with questions or for more.! Button below EMS and Highway Safety at 217-785-2080 and request a personal history packet! History review packet n It costs nothing to change your name unless you a... More information and to access the IDPH database listed below create an account, log.... Line in the IDPH EMS licensing process can be made on LINE in the IDPH licensing! Documents that verify the name change available on this page Administration reviewed Iowa 's EMS system scope practice... Of 2.3 million modern eBooks that may be borrowed by anyone with a free archive.org account or at DPH.EMTLIC illinois.gov... Emergency Medical Services ( EMS ) Systems licensing process can be made on in. The Illinois EMS licensing for more information Highway Safety at 217-785-2080 and request a personal history packet!
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