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Get and Sign Polst Illinois Form 2014-2022

Get and Sign Polst Illinois Form 2014-2022

Use a polst form illinois pdf 2014 template to make your document workflow more streamlined.

Drowning, the Department’s Springfield Office should be advised immediately at 217-782-5830. After work hours, drownings may be reported to the Illinois Emergency Management Agency at 1-800-782-7860. This form may also be used to advise the Department of accidents, illnesses, skin irritations or minor injuries associated with use of the facility. FACILITY INFORMATION This facility is licensed as:  (Indoor or Outdoor) Swimming Pool  Spa  Bathing Beach  Water Slide TYPE OF FACILITY ...
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