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Application Date: Effective Date: Administrator: Designated Contact Person: Hospital Name: Hospital Address: Hospital Phone:Hospital Fax: Name of Location Being Attested To: Address of Location Being
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Designated contact person is an individual selected by a company or organization to act as the main point of contact for communication with regulatory authorities or other entities.
Companies or organizations operating in certain industries, such as finance or healthcare, may be required to appoint and file a designated contact person.
The designated contact person form must be filled out with the individual's name, contact information, and any relevant qualifications or experience.
The purpose of the designated contact person is to ensure that there is a clear point of contact for regulatory authorities or other entities to communicate with regarding important matters.
The designated contact person must report their name, contact information, qualifications, and any changes to this information in a timely manner.
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