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DEPARTMENT OF HEALTH SERVICES Division of Public Health F40054A (01/2018) STATE OF WISCONSIN Bureau of Community Health Promotion WISCONSIN BIRTH DEFECTS REGISTRY REQUEST TO REMOVE IDENTIFIERS Completion

How to fill out phhs boundary statement

How to fill out phhs boundary statement

1. Begin by obtaining a copy of the PHHS boundary statement form.
2. Clearly write your name, address, and contact information at the top of the form.
3. Provide the name and contact information of the property owner, if different from your own information.
4. Indicate the size and location of the property in the appropriate sections of the form.
5. Specify the boundaries of the property by either describing them in detail or attaching a map or survey. Be as accurate and clear as possible.
6. Note any particular features or landmarks that can help in identifying the boundaries, such as rivers, fences, or neighboring properties.
7. Sign and date the boundary statement form to certify its accuracy.
8. If required, submit the completed form to the relevant authority or organization, as specified by their instructions.

Who needs phhs boundary statement?

1. PHHS boundary statement is typically needed by individuals or organizations involved in property transactions or disputes.
2. Examples of people who may require a PHHS boundary statement include real estate agents, surveyors, property owners, and legal professionals.

What is PHHS Boundary Statement - Wisconsin Department of Health ... Form?

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Instructions for the form PHHS Boundary Statement - Wisconsin Department of Health ...

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What is phhs boundary statement?

The PHHS boundary statement is a document that outlines the geographical boundaries of public health services provided by a specific entity, ensuring that services are delivered within designated areas.

Who is required to file phhs boundary statement?

Organizations or entities that provide public health services and receive funding or grants from public health agencies are generally required to file a PHHS boundary statement.

How to fill out phhs boundary statement?

To fill out the PHHS boundary statement, one must accurately define and describe the service area boundaries, complete any required sections about the organization, and provide supporting documentation as needed.

What is the purpose of phhs boundary statement?

The purpose of the PHHS boundary statement is to clearly delineate the service areas of public health entities to ensure accountability, funding allocation, and effective service delivery.

What information must be reported on phhs boundary statement?

The information required on the PHHS boundary statement typically includes organizational details, service area maps, demographic data, and descriptions of the public health services provided.