1. a) After the three-year service obligation is complete, the physician or the physician’s authorized representative shall submit a notice to the Department. The notice shall include:

2. 1) The physician's name;

   1. 2) The name and address of the employer and medical facility where the physician worked:
   2. 3) The physician's beginning and end dates of employment at the medical facility; and
   3. 4) A statement from the employer verifying fulfillment of the employment contract.
   4. b) After reviewing these materials, the Department will send a letter to the physician indicating that the service obligation has been fulfilled and that the waiver file is closed.

(Source: Amended at 47 Ill. Reg. 3093, effective February 21, 2023)