Application Instructions for the Nurse Agency License

“No person may establish, operate, maintain, or advertise as a nurse agency in the State of Illinois unless the person is licensed under the Act by the Department of Labor.”

Agencies have been mailed guidance on all updated amendments. If you would like to register a new nurse agency, please reach out to the Nurse Agency Licensing Unit DOL.NurseAgency@illinois.gov or call 312-793-1804 with any questions. To obtain guidance on updated amendments to the Nurse Agency Licensing Act, here.

     ·  Complete the enclosed application with the necessary signatures. Incomplete applications will be returned. Separate applications must be submitted for each additional location owned and managed by the same person or persons.

     ·  The application fee must be paid online. The current fee is $1000.00 for each primary location and $250.00 for each additional location. Please click here for online payment information. Company and personal checks are not acceptable and will be returned.

     ·  If you are Incorporated, a Limited Liability Company or a Limited Liability Partnership you must submit the following documents that apply

     o  If you are INCORPORATED/CORPORATION, you must submit:

        §  Certificate of Incorporation

        §  By-laws, which include the corporate name

        §  Application for Admission to Transact Business, if you are a foreign Corporation

        §  Assumed Name Certificate, if applicable

     o  If you are a LIMITED LIABILITY COMPANY (LLC), you must submit:

        §  LLC Articles of Incorporation or Organization

        §  Internal Operating Agreement

        §  Application for Admission to Transact Business, if you are a foreign LLC

        §  Assumed Name Certificate, if applicable

     o  If you are a LIMITED LIABILITY PARTNERSHIP (LLP), you must submit:

        §  LLP Articles of Organization

        §  Internal Partnership Agreement

        §  Application for Admission to Transact Business, if you are a foreign LLP

     ·  ADDITIONAL STATEMENTS AND/OR DOCUMENTS REQUIRED

    o  A resume or statement detailing the experience and qualifications of the owner or operator) to operate a nurse agency. Names, addresses of officers, directors and shareholders who own more than 5% of the membership.

    o  Employment Application: A copy of the Employment Application required to be completed by all applicants.

    o  Proof of General and Professional Liability Insurance (original    certificate only): Proof of Professional Liability Insurance in the amount of $1,000,000 and

$3,000,000 in aggregate per incident. The policy must cover all your nurse employees, referrals or assignments. When the policy on file with the Illinois Department of Labor expires, it is the responsibility of the licensee to forward the current proof of insurance to our office. Only an original certificate of insurance will be accepted.

    o Proof of worker's compensation policies for all nurses and CNAs.

    o   Inventory Skills and Clinical Competence Checklist: A copy of the required inventory skills checklist and clinical area of competence for all nurse applicants (RN, LPN & CNAs).

    o  Agency Policies and Procedures: A copy of the Nurse Agency Policies and Procedures concerning personal interviews, reference checks, annual evaluations and health exams, CPR certification and orientation (Sect. 690.70, 690.80, 690.90, 690.100 & 690.110).

    o  Supervising Registered Nurse License and Verification Print-Out: A current copy of both:

        §  Supervising Registered Nurse License and 

       §  the verification print-out from either the Illinois Department of Financial & Professional Regulation or NURSYS. The (IDFPR) website is located at www.idfpr.com/

The following information is for your convenience. It is an abbreviated version of the Act and not meant to fully outline all requirements of the law or the rules and regulations or to be a substitute for the Act itself.

    ·  The agency must employ a registered nurse (RN) as Supervising Nurse at all times for the duration of licensure and report changes of position within thirty (30) business days.

    ·   Personnel records and records of assignments must be maintained at each location from which the agency operates and be available to the Department of Labor for inspection during regular business hours.

    ·  Any changes in stockholders who own more than 5% of stock must be reported to the Department within 30 calendar days

    ·  The agency must provide each nurse or CNA a dispatch notice

    ·  The agency must provide each nurse or CNA a Wage Payment Notice

    ·  Ownership transfers require the transferee to apply for license at least forty-five (45) days before the proposed date of transaction.

    ·  The Act requires continuing verification of all registered nurse (RN) and licensed practical nurse (LPN) licenses. The agency must also verify the license of a registered nurse (RN) Biannually. The Nurse Agency shall review the disciplinary report published by the Illinois Department of Financial and Professional Regulation (IDFPR) on a monthly basis.

    ·  Each Nurse or CNA who is referred or assigned to a health care facility must have a personnel file that must be maintained for a minimum of three years.

    ·  Nurses or certified nurses aides employed, assigned or referred to a health care facility by a nurse agency shall be deemed to be employees of the agency while working for the nurse agency or nurse agency employment, assignment or referral.

Failure to comply with license requirements can result in a fine up to $10,000.