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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15C000116010/17/2017FORM
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01
Start by gathering all the necessary information and documents required to fill out the memorial square application form.
02
Begin by filling out the personal details section, including your name, address, contact number, and social security number.
03
Provide information about the deceased person, such as their full name, date of birth, date of death, and any relevant identification details.
04
Specify the reason for applying for a memorial square and provide any supporting documentation or evidence related to the importance or significance of the person being memorialized.
05
Describe the preferred location for the memorial square and any specific requests or instructions regarding the design or placement of the memorial.
06
Review the completed form for accuracy and completeness, ensuring that all required fields have been filled out correctly.
07
Sign and date the application form, and make a copy of it for your records.
08
Submit the filled-out application form along with any necessary fees or supporting documents to the appropriate memorial square authority or department.
09
Wait for the application to be processed, and follow up if necessary to inquire about the status of your request.
10
If the application is approved, comply with any additional instructions or requirements provided by the memorial square authority to finalize the memorialization process.

Who needs one memorial sq ste?

01
Anyone who wishes to honor the memory and legacy of a deceased person can apply for a memorial square at One Memorial Sq Ste. This could include family members, friends, organizations, or individuals who were closely connected to the person being memorialized and want to create a lasting tribute in their name.

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