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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.
The individual or entity responsible for making the decision outlined in the form administrator is required to file the decision of form administrator.
The decision of form administrator can be filled out by providing all necessary information related to the decision, date, signatures of the administrator and relevant parties.
The purpose of decision of form administrator is to provide a clear record of the decision made by the form administrator and ensure transparency and accountability.
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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