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PRINTED: 12/18/2014 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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To fill out the NC DHSR Constr Statement, follow these steps:
02
Download the NC DHSR Constr Statement form from the official website.
03
Read the instructions and familiarize yourself with the requirements.
04
Fill in the personal information section with your name, address, and contact details.
05
Provide details about the construction project, such as the location and purpose.
06
Include information about the scope of work, including any renovations or additions.
07
Specify the estimated construction start and completion dates.
08
Indicate the estimated project cost and funding sources.
09
Attach any supporting documents or plans, if required.
10
Review the completed form for accuracy and completeness.
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Sign and date the form.
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Submit the filled-out NC DHSR Constr Statement form to the relevant authority or department as specified in the instructions.
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Keep a copy of the form for your records.

Who needs nc dhsr constr statement?

01
The NC DHSR Constr Statement is required by individuals or organizations involved in construction projects within the state of North Carolina.
02
This includes contractors, architects, engineers, developers, and other professionals responsible for planning and executing construction work.
03
The statement is typically required by the North Carolina Department of Health and Human Services, Division of Health Service Regulation (DHSR) to ensure compliance with state regulations and guidelines.
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The NC DHSR Constr Statement is a form that must be filed with the North Carolina Division of Health Service Regulation for construction projects in healthcare facilities.
Owners or operators of healthcare facilities in North Carolina are required to file the NC DHSR Constr Statement.
The NC DHSR Constr Statement can be filled out online through the Division of Health Service Regulation's website or submitted in paper form.
The purpose of the NC DHSR Constr Statement is to ensure that construction projects in healthcare facilities comply with state regulations and standards.
The NC DHSR Constr Statement requires information such as project details, timeline, budget, and compliance with building codes.
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