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PRINTED: 01/09/2018 FORM APPROVED Illinois Department of Public Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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Original complaint investigation 1623612 is a formal process initiated to address specific grievances related to regulatory compliance or legal issues.
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Typically, individuals or entities who believe they have been wronged or impacted by non-compliance are required to file the original complaint investigation 1623612.
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To fill out original complaint investigation 1623612, you should provide detailed information about the complaint, including the parties involved, nature of the complaint, and any relevant documentation.
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The purpose of original complaint investigation 1623612 is to investigate the claims made and determine the validity of the complaint, ensuring compliance with relevant laws and regulations.
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Information that must be reported includes the complainant's details, description of the alleged violation, supporting evidence, and any correspondence regarding the issue.
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