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PRINTED: 03/29/2018 FORM APPROVEDState of Virginia STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X3) DATE SURVEY COMPLETED02/23/2018STREET ADDRESS,
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Form Culpeper is a financial disclosure form that certain individuals are required to file.
Officials and employees of the government or related entities are required to file Form Culpeper.
Form Culpeper can be filled out online or by using a paper form. It requires disclosing financial information such as assets, income, and liabilities.
The purpose of Form Culpeper is to promote transparency and prevent conflicts of interest by disclosing financial interests of government officials and employees.
Information such as assets, income, liabilities, and potential conflicts of interest must be reported on Form Culpeper.
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