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Exhibit E Instructions Agency Capacity Report Requirement: Frequency: Due Date: Contract 65E14.021(9)(a), F.A.C. Initial contract and as required Within 30 days after contract execution or upon request
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What is exhibit e - samh?
Exhibit E - SAMH is a form used for reporting potential conflicts of interest related to State Agency Model Hospitals.
Who is required to file exhibit e - samh?
Officials, employees, and board members of State Agency Model Hospitals are required to file exhibit e - samh.
How to fill out exhibit e - samh?
Exhibit e - samh must be filled out by providing information about any financial interests that could potentially create a conflict of interest.
What is the purpose of exhibit e - samh?
The purpose of exhibit e - samh is to promote transparency and prevent conflicts of interest in State Agency Model Hospitals.
What information must be reported on exhibit e - samh?
On exhibit e - samh, individuals must report any potential financial interests that may create a conflict of interest.
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