Get A-5 Fresenius Medical Care Bolingbrook, Bolingbrook 10-043 - Hfsrb Illinois

Filling out the A-5 Fresenius Medical Care Bolingbrook form is a crucial step for applicants seeking approval for their proposed project. This guide provides a clear, step-by-step approach to accurately complete the form online, ensuring all necessary information is included.

Follow the steps to effectively fill out the A-5 form.

1. Press the ‘Get Form’ button to access the form and open it in the editing interface.
2. Enter the docket number in the designated field at the top of the form to identify your application.
3. Fill in the board meeting date, ensuring that it reflects the actual date of the meeting related to your project.
4. Complete the project number field accurately, using the number provided in your project materials, which is 10-043.
5. Indicate the project cost, ensuring you list the original cost amount of $80,700 as stated in the document.
6. Insert the facility name as 'Fresenius Medical Care Bolingbrook' and ensure the type of project field is labeled 'Non-substantive'.
7. Provide the city name, which should be listed as 'Bolingbrook', for project location confirmation.
8. Document the description of the project clearly, noting the addition of four stations to the existing facility, as described in your planning.
9. Review all the sections for completeness, ensuring that any financial backing or support statements are noted appropriately.
10. Once all fields are completed and verified, save the changes, download or print the form for your records, and prepare for submission.

Complete your documentation online and ensure your project gets the necessary approval.