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Request Form (Submit only one (1) request per form.) Client/Hospital Address CityStateZipSubmitted by Email Address Telephone No. Date submitted Type of Request (Please check the appropriate option
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Submit Only One 1 refers to a simplified reporting form that organizations must use to submit specific information to regulatory authorities.
Organizations and individuals that meet certain criteria, typically those involved in regulated activities or funding, are required to file Submit Only One 1.
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The purpose of Submit Only One 1 is to streamline the reporting process and ensure that key information is submitted efficiently to regulatory bodies.
The information that must be reported includes identification details of the filer, the type of activities involved, reportable transactions, and any other required regulatory information.
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