
Get the free NC DHSR CONST: Statement of Deficinecy - ncdhhs
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PRINTED: 08/09/2017
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 nc dhsr const statement
01
To fill out the NC DHSR Const Statement, follow these steps:
02
Start by providing the name of the individual or entity submitting the statement.
03
Include the contact information, such as address, phone number, and email.
04
Specify the project information, including the project name, address, and county.
05
Indicate the type of construction involved, such as new construction, remodeling, or additions.
06
Provide a detailed description of the work to be performed.
07
Include any additional information or attachments, if necessary.
08
Sign and date the statement to certify the accuracy of the information provided.
Who needs nc dhsr const statement?
01
The NC DHSR Const Statement is required by individuals or entities involved in construction projects in North Carolina.
02
This includes contractors, builders, remodelers, architects, and other construction professionals.
03
It may also be required by government agencies, regulatory bodies, or clients as part of the documentation process.
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What is nc dhsr const statement?
The NC DHHS Const Statement is a document required by the North Carolina Department of Health and Human Services that outlines construction details for healthcare facilities.
Who is required to file nc dhsr const statement?
Construction projects involving healthcare facilities in North Carolina are required to file the NC DHHS Const Statement by the entities undertaking the construction.
How to fill out nc dhsr const statement?
To fill out the NC DHHS Const Statement, follow the provided guidelines and include all required information regarding the project, including project location, scope, and contact details.
What is the purpose of nc dhsr const statement?
The purpose of the NC DHHS Const Statement is to ensure that health and safety standards are maintained in the construction of healthcare facilities.
What information must be reported on nc dhsr const statement?
The NC DHHS Const Statement must report information such as the project name, location, description of the work, estimated cost, and contact information for the responsible party.
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