
Get the free NC DHSR CONSTR: Statement of Deficiency - info.ncdhhs.gov
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PRINTED: 04/14/2015 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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How to fill out nc dhsr constr statement

How to fill out nc dhsr constr statement
01
To fill out the NC DHSR Constr Statement, follow these steps:
1. Begin by entering your personal information, including your name, address, and contact information.
2. Next, provide details about the construction project, such as the facility type, project name, and location.
3. Specify the type of construction, whether it is new construction, renovation, or an addition.
4. Provide information about the construction contractor, including their name, address, and contact information.
5. Include details about the architect or engineer responsible for the project design.
6. Provide a brief description of the project, outlining its purpose and objectives.
7. Attach any additional documents or plans relevant to the construction project.
8. Review the completed form to ensure all information is accurate and complete.
9. Sign and date the form before submitting it to the appropriate authorities.
Who needs nc dhsr constr statement?
01
The NC DHSR Constr Statement is required by individuals or organizations involved in construction projects in North Carolina. It is typically needed by construction contractors, architects, engineers, and individuals seeking approval for construction permits and licenses. The statement helps ensure compliance with state regulations and requirements for construction projects.
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What is nc dhsr constr statement?
The NC DHSR Construction Statement is a form that must be filed to report construction and renovation projects in healthcare facilities in North Carolina.
Who is required to file nc dhsr constr statement?
Healthcare facilities in North Carolina are required to file the NC DHSR Construction Statement for construction and renovation projects.
How to fill out nc dhsr constr statement?
The NC DHSR Construction Statement can be filled out online on the NC Department of Health and Human Services website or submitted in paper form.
What is the purpose of nc dhsr constr statement?
The purpose of the NC DHSR Construction Statement is to ensure that healthcare facilities comply with construction and renovation regulations to protect public health and safety.
What information must be reported on nc dhsr constr statement?
The NC DHSR Construction Statement must include details about the construction or renovation project, including project scope, timeline, budget, and impact on patient care.
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