Department of Public Health

Official Website: http://dph.illinois.gov

Forms & Documents

Browse all Department of Public Health government forms

481 - 500 of 534 forms

Form Title Topics
Request for Variance Cover Sheet Asbestos Abatement
Research Acknowledgment Form Death Records
Retired Plumber's License Application Plumbing
Reviewing Physician Written Certification Out-Patient Physical Therapy/Speech Pathology
Rural Health Medicare Certification Rural Health Centers
Rural Health Medicare Certification CHOW Rural Health Centers
Serious Injury Incident Report Instructions Complaints
Service Improvement Form Integrated Pest Management
Small Font Template Certificate Of Free Sale
Spay Neuter Application Animal Population Control
Spay Neuter Veterinarian Agreement Animal Population Control
Special Flood Hazard Area Location Request Form Swimming Facilities
Special Flood Hazard Area Location Request Form Campgrounds And Youth Camps
Specialty, Subspecialty, and Test/Assay Change Clinical Laboratory Improvement Amendments
Stretcher Van Provider Application EMS Provider and Vehicle Licensing, EMS Provider and Vehicle Licensing
STROKE CENTER DESIGNATION APPLICATION - ASRH without National Certification School Health Program
STROKE CENTER DESIGNATION APPLICATION - CSC, PSC, or ASRH with National Certification School Health Program
Structural Pest Control General Use Application and Checklist Structural Pest Control
Structural Pest Control Technician application (Restricted Use Structural Pest Control
Structural Pest Control Technician Re-Examination Application Structural Pest Control

Contact Information & Office Locations

All 3 contact points

Chicago Headquarters Offices

IDPH

Address:
122 S. Michigan Avenue
7th and 20th Floors
Chicago, IL 60603

Phone numbers:
  • (312) 814-2793

Chicago Headquarters Offices

IDPH

Address:
69 W. Washington Street
35th Floor
Chicago, IL 60602

Phone numbers:
  • (312) 814-5278

Springfield Headquarters Office

IDPH

Address:
525-535 West Jefferson Street
Springfield, IL 62761

Phone numbers:
  • (217) 782-4977

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