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Action Request Transmittal Aging and People with Disabilities Mike McCormick Authorized Signature Topic: Other Number: APD-AR-14-009 Issue Date: 2/13/2014 Due Date: Subject: State Plan K Provider
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APD-AR-14-009 - DHS Home is a form used by the Department of Human Services to report information on residential care facilities.
All residential care facility operators are required to file APD-AR-14-009 - DHS Home.
The form can be filled out online on the Department of Human Services website or submitted via mail.
The purpose of APD-AR-14-009 - DHS Home is to provide the Department of Human Services with information on the operation and facilities of residential care facilities.
Information such as facility name, address, number of residents, services provided, and compliance with regulations must be reported on APD-AR-14-009 - DHS Home.
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