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PRINTED: 10/29/2020 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 a preoccupancy survey for

01
Start by reading the instructions provided with the preoccupancy survey form.
02
Gather all the necessary information that is required to fill out the survey, such as property details, occupancy status, etc.
03
Begin by providing your personal information, including your name, contact details, and any other requested identification information.
04
Move on to filling out the details of the property, such as the address, type of property, and any additional relevant information.
05
Answer all the questions in the survey accurately and truthfully. Be sure to double-check your responses before submitting the form.
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If there are any specific instructions or additional information required, make sure to provide them as instructed.
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Once you have completed filling out the survey, review it one final time to ensure all the necessary information has been provided.
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Sign and date the survey, if required.
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Submit the filled-out survey as instructed, either by mailing it or submitting it electronically.

Who needs a preoccupancy survey for?

01
A preoccupancy survey is typically needed by individuals or organizations involved in the real estate industry.
02
It may be required by property developers, landlords, or property management companies to gather essential information about the occupancy status of a property.
03
Insurance companies may also require a preoccupancy survey to assess the risk associated with insuring a specific property.
04
Government agencies or regulatory bodies may also request preoccupancy surveys as part of their compliance processes.
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Ultimately, anyone who needs to collect information about the occupancy status of a property may require a preoccupancy survey.
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A preoccupancy survey is conducted to assess the condition of a property before it is occupied to identify any existing damages or issues that need to be addressed.
Typically, property owners or landlords are required to file a preoccupancy survey for their properties prior to new tenants moving in.
To fill out a preoccupancy survey, you generally need to document the current condition of various aspects of the property, including structure, appliances, plumbing, and any existing damages, often using a standardized form.
The purpose of a preoccupancy survey is to establish a record of the property's condition to prevent disputes over security deposits and to ensure that tenants are moving into a safe and well-maintained environment.
The survey must report information regarding the condition of each room, appliances, fixtures, and any damages or repairs needed, along with photographs if necessary.
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