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Form Approved OMB No.: 09350143 Exp. Date: 10/31/2014 PATIENT SAFETY ORGANIZATION: CERTIFICATION FOR INITIAL LISTING The Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act), and
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09350143 exp - pso is a form used to report expenses related to professional services organization.
Any individual or organization that has incurred expenses related to professional services organization must file 09350143 exp - pso.
To fill out 09350143 exp - pso, you will need to provide detailed information about the expenses incurred for professional services organization.
The purpose of 09350143 exp - pso is to accurately report expenses related to professional services organization for tax or auditing purposes.
On 09350143 exp - pso, you must report the details of expenses incurred, the date of expenses, the purpose of expenses, and any relevant supporting documentation.
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