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PRINTED: 06/08/2021 FORM APPROVED Illinois Department of Public Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:ILLINOIS VETERANS HOME AT MARTEN

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What is application and information?

Application and information refer to the forms and details required to apply for a specific service or to provide necessary data.

Who is required to file application and information?

Individuals or entities seeking a particular service or needing to submit specific information are required to file application and information.

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What is the purpose of application and information?

The purpose of application and information is to gather necessary details for processing requests or making informed decisions.

What information must be reported on application and information?

The required information may vary depending on the specific service or request, but typically includes personal details, relevant documents, and specific data.

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