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Department of Health & Social Services Division of Health Care ServicesADMINISTRATOR DESIGNATIONFacility Name: Agency Name:Facility Physical Address:Mailing Address:Facility Telephone: Agency Telephone:I
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The administrator designation is the official title given to the individual responsible for managing a specific task or role within an organization.
Individuals who hold a position of authority or responsibility within a company may be required to file an administrator designation form.
To fill out an administrator designation form, you will need to provide your personal information, the specific role or task you are responsible for, and any other relevant details requested on the form.
The purpose of administrator designation is to clearly define and assign roles and responsibilities within an organization to ensure smooth operation and accountability.
Information such as the individual's name, contact details, job title, and description of responsibilities must be reported on the administrator designation form.
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