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PRINTED: 11/04/2015 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X3) DATE SURVEY COMPLETE DRC

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What is hoosier village?

Hoosier Village is a housing community in Indiana.

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Residents of Hoosier Village are required to file their housing information.

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You can fill out Hoosier Village by providing your personal and housing information on the required forms.

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The purpose of Hoosier Village is to track housing information of residents in the community.

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Information such as address, number of residents, and housing type must be reported on Hoosier Village forms.

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