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APPLICATION FOR LICENSE TO OPERATE A HOME HEALTH AGENCY (PURSUANT TO IC 1627 AND 410 IAC 17) State Form 4008 (R4/1201) Form approved by State Board of Accounts, 1999 Division of Acute Care Use Only

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Read the instructions and requirements provided in IC 16-27.

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Who needs pursuant to ic 16-27?

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Individuals or organizations who are required to comply with the regulations stated in IC 16-27 need to fill out pursuant to IC 16-27.

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What is pursuant to ic 16-27?

Pursuant to ic 16-27 refers to the regulations outlined in Indiana Code 16-27 which govern the reporting requirements for certain entities.

Who is required to file pursuant to ic 16-27?

Entities specified in Indiana Code 16-27 are required to file according to its regulations.

How to fill out pursuant to ic 16-27?

To fill out pursuant to ic 16-27, entities must gather the required information specified in the code and submit it according to the guidelines.

What is the purpose of pursuant to ic 16-27?

The purpose of ic 16-27 is to ensure transparency and compliance within the specified entities.

What information must be reported on pursuant to ic 16-27?

The specific information to be reported on pursuant to ic 16-27 is outlined within the regulations of Indiana Code 16-27.

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