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#E05419 ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD APPLICATION FOR CHANGE OF OWNERSHIP EXEMPTION SECTION I. IDENTIFICATION t GENERAL INFORMATION t AND CERTIFICATIONClThis Section must be
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Obtain the application form from the relevant authority or website.
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Fill out the form accurately with all required information.
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Review the application for any errors or missing information.
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Submit the completed application form along with any required fees to the designated authority.

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Any individual or entity looking to make a change to their personal information or status, such as name change, address change, or marital status change, may need to apply for a change of application.
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It is an application used to request a change in certain information or status.
Any individual or entity who needs to update or modify their information or status.
The application can typically be filled out online, through mail, or in person following the instructions provided by the relevant authority.
The purpose is to ensure that accurate and up-to-date information is maintained for the specific purpose.
The specific information required will depend on the nature of the change being requested, but typically includes personal details, identification information, and details of the change.
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