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APPENDIX D Mississippi State Department of Health DETERMINATION OF REVIVABILITY APPLICATION FORM (PROCESSING FEE: $250) 1. Title of Project 2. Facility name, address, county, ZIP code. 3. Legal name
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What is determination of reviewability application?
The determination of reviewability application is a formal request submitted to determine if a specific review can be undertaken.
Who is required to file determination of reviewability application?
Any individual or organization planning to initiate a review is required to file the determination of reviewability application.
How to fill out determination of reviewability application?
The determination of reviewability application can be filled out by providing all the necessary information and documentation as specified in the application form.
What is the purpose of determination of reviewability application?
The purpose of the determination of reviewability application is to assess whether a review can be conducted and to gather relevant information about the review.
What information must be reported on determination of reviewability application?
The determination of reviewability application typically requires information such as the nature of the review, the parties involved, the timeframe, and any relevant financial or legal documents.
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