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*DO NOT COMPLETE OFFICE USE ONLY×SERVICEHILLSBOROUGH COUNTY BOARD OF COUNTY COMMISSIONERS ECONOMIC DEVELOPMENT DEPARTMENT DM/WE & BE PROGRAMS RECERTIFICATION/PREREGISTRATION UPDATE AFFIDAVIT HCA
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September recert-rrereg affidavitdocx is a document used for re-certification and re-registration purposes.
Providers and entities that need to update their information and maintain compliance.
The form must be completed with accurate information and signed by an authorized representative.
The purpose is to ensure that providers and entities are up to date with their information and in compliance with regulations.
Information such as contact details, services provided, and any changes in ownership or management.
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