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CCS Office Use Only: This application was received by: on date: Request ID: After carefully reviewing the application, this request was Approved Declined Pending Comments:CRITICAL CARE SERVICE INVENTORY
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This application is a formal request submitted to a designated authority for a specific purpose, typically involving compliance with legal or regulatory requirements.
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The purpose of this application is to obtain permission or approval for a specific action or to report necessary information to a regulatory authority.
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