Administrative Rulemaking Comment Form

The Illinois Department of Public Health provides this form for interested persons to comment on the Department's proposed rulemaking under Section 5-40 of the Illinois Administrative Procedure Act, 5 ILCS 100/5-40. Please note that the time period for comments on proposed rulemaking is scheduled to end 45 days after the rulemaking is published in the Illinois Register (see 5 ILCS 100/5-40). WordPerfect documents or other text-format files may be e-mailed to <DPH.RULES@illinois.gov>.

Today's Date

Name(s)

Organization(s)/Affiliation(s)

Address1

Address2

City

State

ZIP Code

Telephone Number

E-mail Address

(Note: Fields in red are mandatory.)

Proposed Rulemaking Citation

Please complete the cite entries for BOTH the Administrative Rule (to identify the rule) and the Illinois Register (to identify the Department's proposed changes to that rule).

Administrative Rule Name

Administrative Rule Cite

Illinois Register Cite

	Ill. Adm. Code
(Rule Title No.)		(Rule Part No.)

Ill. Reg.

(Volume No.)

(Page No.)

Date Published

Comments on Cited Rulemaking
WordPerfect documents or other text-format files may be e-mailed to <DPH.RULES@illinois.gov>.

Please enter verification code:

Back to previous page.

Illinois Department of Public Health
535 West Jefferson Street
Springfield, Illinois 62761
Phone 217-782-4977
Fax 217-782-3987
TTY 800-547-0466