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FOR BHF USELL1 2016 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2016)I.DPH License ID Number:
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Decision of form administrator is a formal written document that outlines a specific decision or ruling made by the form administrator.
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The decision of form administrator must include details such as the decision, date, names of relevant parties, signatures, and any supporting documentation.
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