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FOR BHF USELL1 2018STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2018) I.DPH License ID Number:
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What is daniel e?
Daniel e is a form used for reporting certain income received.
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Individuals or entities who received income that needs to be reported on the form.
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Information such as income received, payer details, and any deductions or credits applied.
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