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LONG REPORT completed annually by: For-profit Companies and Larger Ambulance Organizations completed by all applicants for a General Rate IncreaseACTUAL FINANCIAL DATA AMBULANCE REVENUE and COST REPORT
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This form is used for reporting financial information.
All entities that meet the reporting requirements.
The form must be filled out accurately with all financial information.
The purpose is to provide detailed financial information for reporting purposes.
Information such as income, expenses, assets, and liabilities must be reported.
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