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P.O. Box 59307Birmingham, AL 35259Phone: 205.451.1747Fax: 205.451.1749Provider Fact Sheet Please complete one Provider Fact Sheet for Each Provider in the Group 1. Providers Name:___2. Physical Group/Practice
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How to fill out facility fact sheet

How to fill out facility fact sheet
01
Gather all necessary information about the facility, such as address, contact information, operating hours, and services offered.
02
Fill out each section of the fact sheet accurately and completely.
03
Include any additional details or descriptions that may be relevant to the facility.
04
Review the completed fact sheet for accuracy and make any necessary corrections before submitting.
Who needs facility fact sheet?
01
Facility managers or owners who want to provide detailed information about their facility to potential customers or stakeholders.
02
Organizations or individuals looking for specific information about a particular facility.
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What is facility fact sheet?
The facility fact sheet is a document that provides detailed information about a particular facility, such as its location, size, activities, and environmental impact.
Who is required to file facility fact sheet?
Facility owners or operators are required to file the facility fact sheet.
How to fill out facility fact sheet?
Facility owners or operators must provide accurate and updated information about their facility in the designated sections of the form.
What is the purpose of facility fact sheet?
The purpose of the facility fact sheet is to ensure transparency and accountability regarding the environmental impact of facilities.
What information must be reported on facility fact sheet?
Information such as facility name, address, contact information, operational activities, waste management practices, and environmental compliance records must be reported on the facility fact sheet.
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