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PRINTED: 10/27/2021 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:PRIMROSE RETIREMENT COMMUNITY
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Printed 1012 department is a form used for reporting expenses related to a specific department within an organization.
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The department manager or designated personnel is usually required to file the printed 1012 department form.
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The printed 1012 department form can be filled out by entering all relevant expenses and descriptions for the specific department.
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The purpose of the printed 1012 department form is to track and report expenses for a specific department to ensure proper financial management.
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The information that must be reported on the printed 1012 department form includes all expenses incurred by the department, including amount, date, and description.
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