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DocuSign Envelope ID: 5F31A2C756824F59A68F4C99D55EF120Change in Effective Control Application Version 01.2019For Hospital Conversion Act ReviewApplicant Name of Facilities:Name of Licensees: Prospect
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01
To fill out attestations for the RI Department, follow these steps:
02
Download the attestation form from the RI Department's website.
03
Read the instructions carefully and gather all the required information.
04
Start filling out the form by providing your personal details, such as your name, address, and contact information.
05
Fill in the purpose of the attestation and provide any supporting evidence if required.
06
Sign and date the attestation form.
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Make a copy of the completed form for your records.
08
Submit the attestation form by mail or any other submission method specified by the RI Department.

Who needs attestations - ri department?

01
Anyone who is required by the RI Department to provide attestations needs to fulfill this requirement.
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This may include businesses, individuals applying for permits or licenses, or those seeking state assistance or benefits.
03
Specific requirements and guidelines for attestations can be found on the RI Department's website or in the relevant application forms.
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Attestations in the RI Department context refer to formal declarations or confirmations made by individuals or entities regarding compliance with specific regulations or requirements established by the department.
Individuals or entities who are subject to certain regulatory requirements as set forth by the RI Department are required to file attestations, which may include businesses, health care providers, or any organization involved in regulated activities.
To fill out attestations with the RI Department, individuals or entities need to complete the prescribed form available on the department's website, ensuring all required fields are accurately filled in and any necessary supporting documentation is attached.
The purpose of attestations in the RI Department is to ensure compliance with laws and regulations, to verify that certain standards are met, and to provide accountability and transparency within regulated sectors.
Information reported on attestations typically includes the entity's name, contact information, relevant compliance details, confirmation statements, and any additional data as required by the specific regulation or guideline.
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