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Get the free PHS-1122-1 Supplement Form - Commissioned Corps Management ... - dcp psc

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Department of Health and Human Services Commissioned Corps of the U.S. Public Health Service Office of Commissioned Corps Operations Division of Commissioned Corps Officer Support 1101 Wotton Parkway,
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The phs-1122-1 supplement form is a document used to provide additional information and updates to the Public Health Service (PHS) Form 1122 agreement.
Entities that have a PHS Form 1122 agreement in place may be required to file the phs-1122-1 supplement form.
To fill out the phs-1122-1 supplement form, you need to provide the requested information and any updates related to your PHS Form 1122 agreement. Follow the instructions provided on the form.
The purpose of the phs-1122-1 supplement form is to ensure that the PHS Form 1122 agreement remains up to date and accurate by capturing any changes or additional information.
The specific information required to be reported on the phs-1122-1 supplement form may vary depending on the updates or changes being made. However, it generally includes details such as contact information, program updates, and any modifications to the original agreement.
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