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PRINTED: 04/13/2022 FORM APPROVED Hawaii Dept. of Health, Office of Health Care Assurance STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:AVALON CARE
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The PDF printed 0413 form is a specific document used for reporting certain types of information as mandated by regulatory authorities, often related to taxation or compliance.
Entities or individuals who meet specific criteria set by the authorities, typically regarding income, transactions, or compliance with certain regulations, are required to file the PDF printed 0413 form.
To fill out the PDF printed 0413 form, one should gather the necessary information, carefully complete each section of the form according to the instructions provided, and ensure that all details are accurate before submitting.
The purpose of the PDF printed 0413 form is to collect specific information necessary for regulatory compliance, tax reporting, or other official documentation requirements.
The information that must be reported on the PDF printed 0413 form typically includes personal details, financial data, and any other specifics required by the relevant authority.
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