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Form CN-1 OAR 333-580-0080 FOR HEALTH DIVISION USE ONLY APPN. NO. DATE RECEIVED DATE COMPLETE FEE STATE OF OREGON CERTIFICATE OF NEED APPLICATION FORM Facility Name Street Address City/Zip Applicant/ Licensee Licensee Address if different Facility Administrator Phone Medicare Provider No. Medicaid PERSON AUTHORIZED TO ANSWER QUESTIONS ACT AND RECEIVE SERVICE ON BEHALF OF THE APPLICANT if other than the facility administrator Name Title Firm Address Have you previously submitted an application...
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What is cn1doc?
cn1doc is a document used to report certain financial transactions to the relevant authorities.
Who is required to file cn1doc?
Entities or individuals who engage in the specific financial transactions outlined in the regulatory guidelines.
How to fill out cn1doc?
cn1doc can be filled out electronically through the designated platform provided by the regulatory authority.
What is the purpose of cn1doc?
The purpose of cn1doc is to monitor and track financial transactions to prevent money laundering and other financial crimes.
What information must be reported on cn1doc?
Information such as the parties involved in the transaction, the amount, and the nature of the transaction must be reported on cn1doc.
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