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CAME Health Education and Research Institute CME Disclosure & HIPAA Compliance Form Presenter (please print) Richard A Canal, MD, FACE Activity Date: April 8, 2017, Name of Program: 12th Annual Meeting
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01
Step 1: Start by obtaining the disclosure form from the appropriate source. This can be the West Virginia Secretary of State's Office or your attorney.
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Step 2: Read the disclosure form carefully to become familiar with the required information and any instructions provided.
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Step 3: Gather all the necessary information, documents, or records that are required to be disclosed. This may include financial statements, contracts, agreements, or any other relevant information.
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Step 4: Begin filling out the disclosure form by following the guidelines and instructions provided. Provide accurate and complete information for each section or question.
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Step 5: Take your time to review and double-check the information filled out in the form for any errors or missing details.
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Step 6: Once you are satisfied with the accuracy and completeness of the disclosure form, sign and date it as required.
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Step 7: Make copies of the completed disclosure form for your records.
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Step 8: Submit the original disclosure form to the appropriate entity or authority as instructed. This may involve mailing, delivering in person, or submitting electronically depending on the requirements.
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Step 9: Keep a record of the date and method of submission for future reference.
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Step 10: If any changes or updates occur after filing the disclosure form, ensure to comply with any reporting requirements to keep the information up to date.

Who needs disclosure - west va?

01
Business entities registered or operating in West Virginia.
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Individuals or organizations involved in certain financial transactions or contractual agreements in West Virginia.
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Government agencies or departments requiring disclosure of information related to specific activities or interests in West Virginia.
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Professional service providers, such as attorneys or accountants, who have fiduciary or legal obligations to make disclosures in West Virginia.
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Non-profit organizations or charitable entities operating in West Virginia that may be subject to disclosure requirements.
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Disclosure in West Virginia refers to the requirement for public officials and candidates to report their financial interests, including income, assets, and debts, to ensure transparency and prevent conflicts of interest.
Public officials, candidates for public office, and certain government employees are required to file disclosure in West Virginia.
Disclosure forms can typically be obtained from the West Virginia Ethics Commission website and must be completed accurately, detailing all required financial information.
The purpose of disclosure in West Virginia is to promote transparency, accountability, and ethics in government by providing the public with information about the financial interests of public officials and candidates.
Information that must be reported on disclosure in West Virginia typically includes sources of income, assets, debts, and certain business interests.
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