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OMB No.: 09150285 Expiration Date: 10/31/2013 DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services AdministrationFORM 5B: SERVICE SITES FOR RSA USE ONLYApplication Tracking Number
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How to fill out form 5b service sites

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Start by downloading the form 5b from the official website of the service sites.
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Fill in the personal information section accurately, including your full name, contact information, and any other required details.
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Provide details about the service sites you are applying for, such as the name, address, and purpose of the site.
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Form 5b service sites is a reporting form used to disclose information on specific service sites.
Service providers who operate service sites are required to file form 5b service sites.
Form 5b service sites can be filled out online or by mail, providing detailed information on each service site.
The purpose of form 5b service sites is to track and monitor service providers' compliance with regulations at specific service sites.
Form 5b service sites requires information such as location, services provided, and compliance measures at each service site.
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