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WWW.idfpr.com JB PRITZKER GovernorMARIO TRE TO, JR. Acting SecretaryCECILIA ABOUNDS Acting Directorate OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION DIVISION OF PROFESSIONAL REGULATION
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Obtain a copy of the proclamation-out of state-hcw form.
02
Fill in your personal details, such as your name, address, and contact information.
03
Provide information about the out-of-state healthcare facility where you will be working, such as the name, address, and contact information.
04
Specify the duration of your stay in the other state.
05
Include any additional information or attachments required by the form.
06
Review the completed form for accuracy and completeness.
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Submit the proclamation-out of state-hcw form to the appropriate authority or organization, as instructed.

Who needs proclamation-out of state- hcw?

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Healthcare workers who are planning to work in an out-of-state healthcare facility.
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Proclamation-out of state- hcw is a declaration that healthcare workers from out of state must file to practice in a different state.
Healthcare workers practicing in a state different from their home state are required to file proclamation-out of state- hcw.
Proclamation-out of state- hcw can be filled out by providing personal information, licensing details, and confirmation of compliance with state regulations.
The purpose of proclamation-out of state- hcw is to ensure that healthcare workers from out of state meet the necessary requirements to practice in a different state.
Information such as personal details, licensing information, and confirmation of compliance with state regulations must be reported on proclamation-out of state- hcw.
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