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Appendix A Form 11Alabama Board of Examiners of Nursing Home Administrators 4156 Carmichael Road, Montgomery, Alabama 36106 (334) 2712342 AIT PROGRAM OUTLINE 2000 HOUR (Please print clearly or type
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Individuals or entities required to report specific financial information as prescribed by the authorities are required to file appendix AForm 11.
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To fill out appendix AForm 11, one must provide accurate and complete financial information as requested in the form.
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