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FOR BHF USELL1
2019STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2019)
I.DPH License ID Number:
Facility
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What is oformr specify alloc?
Oformr specify alloc is a form used to specify allocations or distributions.
Who is required to file oformr specify alloc?
Any entity or individual who needs to report allocations or distributions must file oformr specify alloc.
How to fill out oformr specify alloc?
Oformr specify alloc can be filled out online or in paper form, and must include all relevant details about the allocations or distributions.
What is the purpose of oformr specify alloc?
The purpose of oformr specify alloc is to provide accurate information about allocations or distributions for reporting and compliance purposes.
What information must be reported on oformr specify alloc?
Information such as the amount of allocation, recipient details, date of distribution, and any applicable tax information must be reported on oformr specify alloc.
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