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PRINTED: 10/27/2015 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

01
To fill out the NC DHSR Constr statement, follow these steps:
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Start by entering the required information such as the project name, address, and owner information.
03
Provide details about the contractor or construction company involved in the project, including their contact information and license number.
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Specify the type of construction being undertaken, such as renovations, additions, or new construction.
05
Include a description of the scope of work, outlining the specific tasks and materials involved in the project.
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Indicate the estimated project cost and the proposed start and completion dates.
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If applicable, provide information about any proposed changes or waivers to the North Carolina building code.
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Sign and date the form to certify the accuracy of the provided information.
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Submit the filled-out NC DHSR Constr statement to the relevant authorities for review and approval.
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Make sure to review the instructions and requirements provided by the NC DHSR (North Carolina Division of Health Service Regulation) before completing the form.

Who needs nc dhsr constr statement?

01
The NC DHSR Constr statement is typically required by contractors or construction companies that are undertaking projects in North Carolina. It is used to provide important information about the construction project to the North Carolina Division of Health Service Regulation (DHSR) for review and approval.
02
Additionally, other parties involved in the project, such as owners, architects, or engineers, may also need to be familiar with the NC DHSR Constr statement.
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The NC DHSR Constr statement is a form that must be filed by certain individuals or entities involved in construction projects in North Carolina.
Contractors, subcontractors, and other parties involved in construction projects in North Carolina are required to file the NC DHSR Constr statement.
The NC DHSR Constr statement can be filled out online through the North Carolina Department of Health and Human Services website.
The purpose of the NC DHSR Constr statement is to provide information about the construction project, including details about the parties involved, the project location, and the project timeline.
The NC DHSR Constr statement must include information about the parties involved in the construction project, the project location, and the project timeline.
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