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PRINTED: 10/25/2022 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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Printed 1012 department is a form used for reporting expenses related to a specific department within an organization.
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The head of the department or the person responsible for financial reporting is required to file printed 1012 department.
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Information such as date, description of expenses, amount spent, and budget codes must be reported on printed 1012 department.
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