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PRINTED: 03/31/2015 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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To fill out the NC DHSR ConstrStatement of, follow these steps:
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Start by entering the basic information of the construction project, including the facility name, address, and contact information.
03
Provide details about the project, such as the type of construction, the estimated cost, and the proposed start and end dates.
04
Include information about the design professional involved in the project, including their contact information and license number.
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If applicable, indicate any licenses or permits required for the project and provide copies of these documents.
06
Fill out the section regarding the scope of work, describing the specific construction activities that will be performed.
07
Include information about any subcontractors or specialty contractors involved in the project, including their contact information and specialties.
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If there are any design changes or revisions, describe them in detail and provide updated plans or drawings.
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Lastly, review the completed form for accuracy and completeness before submitting it to the NC DHSR ConstrStatement of.

Who needs nc dhsr constrstatement of?

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The NC DHSR ConstrStatement of is needed by individuals or organizations involved in construction projects that require approval or oversight from the North Carolina Division of Health Service Regulation (DHSR). This may include architects, engineers, general contractors, subcontractors, and other construction professionals.
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nc dhsr constrstatement of is a statement of construction progress required by the North Carolina Division of Health Service Regulation.
Anyone involved in a construction project regulated by the Division of Health Service Regulation in North Carolina.
The form can be filled out online through the Division of Health Service Regulation's website or submitted via mail with the required information.
The purpose is to track the progress of construction projects regulated by the Division of Health Service Regulation to ensure compliance with regulations.
Information such as the project's timeline, budget, changes to the original plan, and any issues encountered during construction.
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