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FORM # 6(6/15/99) COST ESCALATION FORM1. APPLICANT FACILITY/SERVICE NAME (if different) CERTIFICATE OF NEED NUMBER DATE OF CERTIFICATE OF NEED ISSUED (see CON) SCOPE OF PROJECT AS STATED ON CERTIFICATE
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Form 6 is a legal document used for filing financial disclosures with the appropriate government agency.
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Form 6 can be filled out electronically or manually, following the instructions provided by the government agency.
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Form 6 typically requires information on assets, income, investments, and liabilities.
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