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PRINTED: 03/29/2018 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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How to fill out 9101 bon air crossings
How to fill out 9101 bon air crossings
01
To fill out the 9101 Bon Air Crossings form, follow these steps:
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Start by entering the date of the crossing.
03
Provide the name of the individual or company making the crossing.
04
Indicate the direction of the crossing (e.g., entering or exiting the bon air).
05
Enter the purpose of the crossing (e.g., delivering goods, visiting a residential property).
06
Specify the duration of the crossing (start time and end time).
07
Note any special instructions or additional information.
08
Sign and date the form to indicate your agreement with the provided details.
09
Submit the completed form to the appropriate authority or department.
Who needs 9101 bon air crossings?
01
9101 Bon Air Crossings are needed by individuals or companies who require authorized access to Bon Air area for various purposes such as deliveries, visits, services, etc.
02
These crossings serve as a means to regulate and document entries and exits to ensure smooth traffic flow and maintain security within the Bon Air vicinity.
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