Get Temporary Occupancy Policy - Idph

This guide provides clear, step-by-step instructions on how to complete the Temporary Occupancy Policy form from the Illinois Department of Public Health (IDPH) online. It aims to assist users in effectively navigating each section of the form to ensure compliance with all requirements.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by filling out the facility name and city, as well as the project name and the IDPH number. Ensure that all information is accurate and reflects the current status of your project.
3. Provide a detailed narrative and a small graphic plan indicating the areas for temporary occupancy. Clearly mark the currently occupied areas and areas planned for future occupancy, including the type and location of each room.
4. Include the architect or engineer's signed certification that confirms all necessary health and safety systems are complete and operational for the requested area of occupancy.
5. Attach a signed letter from the architect or engineer certifying that all means of egress are complete and that the project does not present health, safety, or nuisance hazards.
6. Gather signed certifications from mechanical and electrical systems installers confirming that systems are functioning properly according to state requirements, along with relevant testing and certification documents.
7. Submit the applicable matrices related to work completed in the temporary occupancy area, ensuring you address the required assembly ratings, penetrations, interior finishes, smoke and fire dampers, and air balancing reports.
8. Ensure you have a signed letter certifying that air balancing is complete and clean filters are installed in air handling units.
9. Provide a current occupancy phasing schedule that details all phases to be occupied and the estimated occupancy dates.
10. Include a copy of the facility's Life Safety interim measures plan.
11. Review all information for accuracy and completeness before submitting. Make sure to check that all required certifications are attached.

Complete and submit the Temporary Occupancy Policy - IDPH online now to ensure compliance and timely approval.