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State of CaliforniaHealth and Human Services AgencyDepartment of Health ServicesARNOLD SCHWARZENEGGER GovernorSANDRA SHERRY Director December 20, 2006TO:GENERAL ACUTE CARE HOSPITALSSUBJECT:REPLACEMENT

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What is replacement of afl 04-28?

Replacement of afl 04-28 is a form used to replace a previously submitted AFL (Accident, Fire, or Loss) report.

Who is required to file replacement of afl 04-28?

The individual or entity who filed the original AFL report is required to file the replacement of afl 04-28 if there are errors or additional information that needs to be reported.

How to fill out replacement of afl 04-28?

The replacement of afl 04-28 should be filled out with the correct information and any additional details that were not included in the original AFL report. It should be submitted to the appropriate authority for review and updates.

What is the purpose of replacement of afl 04-28?

The purpose of the replacement of afl 04-28 is to ensure that accurate and complete information is provided in AFL reports for proper documentation and analysis of accidents, fires, or losses.

What information must be reported on replacement of afl 04-28?

The replacement of afl 04-28 should include all the necessary information related to the accident, fire, or loss being reported, as well as any corrections or additions required.

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