IPLAN Submission Checklist effective 2/1/2023

2/16/2023

IPLAN submission check list to be submitted to DPH.IPLAN@Illinois.govLHD Certification Review Process

  1. Certification Application via LHD Certification Application
  2. Electronic version of IPLAN
    1. IPLAN must include page numbers and table of contents
    2. We require a board of health approval letter of the IPLAN (signed by your BOH president or representative) and a letter stating that the BOH has seen the Organizational Self-Assessment Plan. Both of these documents can be combined in one letter.
    3. Please keep your organizational Self-Assessment Plan for your records, we do not require a copy
  3. IPLAN substantial compliance evaluation
    1. LHD completes
      • LHD Name (on first page)
      • Health Priorities (on first and as applicable for pages 3-6)
      • Page numbers for substantial compliance review (if there is something missing LHD will provide comments to why ie: data not available?)
  4. Applicable new Personnel Information Form (PIF) ie change in personnel
  5. Any applicable LHD change requests: ie name changes, contact information and or updates to the LHD directory, please send a formal notice on your LHD letter head, signed, dated and addressed to IPLAN Admin re: change request with justification for need submitted to DPH.IPLAN@Illinois.gov
Extension requests: Per 600.210(d) of the Certified Local Health Department Code if you need to utilize an extension please send a formal notice on your LHD letter head, signed, dated and addressed to IPLAN Admin listing qualified justification for need of extension and submit to DPH.IPLAN@Illinois.gov