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PRINTED: 01/20/2021 FORM Approved Jersey Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:ATRIA VOORHEES ASSISTED LIVING RESIDENCE
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01
Obtain the form from a census office, website, or authorized distributor.
02
Fill out the form completely and accurately, providing information about your household, health status, and exposure to COVID-19.
03
Ensure all members of your household are accounted for on the form.
04
Submit the completed form to the designated census office or online portal.

Who needs census 71 a covid-19?

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Any individual or household that has been directly impacted by or has concerns about COVID-19 may need to fill out Census 71A COVID-19. This may include individuals who have tested positive, been exposed to the virus, or experienced symptoms, as well as those who have been affected by the economic or social impacts of the pandemic.
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Census 71 a covid-19 is a form used to gather information about the impact of COVID-19 on individuals and households.
All individuals and households are required to fill out census 71 a covid-19.
Census 71 a covid-19 can be filled out online or through a paper form that can be requested from the census office.
The purpose of census 71 a covid-19 is to collect data on how COVID-19 has affected people and communities for research and planning purposes.
Information such as demographics, health status, vaccination status, and economic impact due to COVID-19 must be reported on census 71 a covid-19.
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