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PRINTED: 10/07/2021
FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES
CENTERS FOR MEDICARE & MEDICAID SERVICES
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA
IDENTIFICATION
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What is form investigation of complaint?
The form investigation of complaint is a document used to report complaints or issues that need to be investigated by the relevant authorities.
Who is required to file form investigation of complaint?
Any individual or organization that has a complaint or issue that needs investigation is required to file the form.
How to fill out form investigation of complaint?
The form can be filled out manually or electronically, depending on the requirements of the relevant authorities. It typically requires details of the complaint, evidence, and contact information.
What is the purpose of form investigation of complaint?
The purpose of the form is to ensure that complaints or issues are properly investigated and resolved by the authorities in a timely manner.
What information must be reported on form investigation of complaint?
The form typically requires details of the complaint, including the nature of the issue, evidence, and contact information of the filer.
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