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Get Hfs 3819 Form 2012-2024

HFS 3819 R-10-06 Fingerprint-Based Background Check Requirements Who Must Submit Fingerprints The following individuals associated with the Non-Emergency Transportation Company are subject to the fingerprint-based background check 1. For HFS Use Only State of Illinois Department of Healthcare and Family Services Provider Number Non-Emergency Transportation Fingerprint Form Please Print All Information Provider Company Name Last Name First Name Mi.

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