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Faculty Credentials Documentation FormFullTime and Adjunct/Maritime This form is originated by the Department Chair at the time of hire for new faculty or as teaching responsibilities change for current
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OCR 484 LPA stands for Office of Civil Rights Letter to Provider/Agency.
Healthcare providers and agencies that receive funding from the Office for Civil Rights are required to file OCR 484 LPA.
OCR 484 LPA can be filled out online through the Office for Civil Rights website or by submitting a physical form through mail.
The purpose of OCR 484 LPA is to collect data on healthcare providers and agencies receiving funding from the Office for Civil Rights to ensure compliance with civil rights laws.
Information such as demographic data of patients, staff, and services provided must be reported on OCR 484 LPA.
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