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PRINTED: 03/07/2022
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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How to fill out census 125
How to fill out census 125
01
Obtain a census 125 form either from a designated distribution center or online.
02
Fill out all required personal information accurately, such as name, address, and date of birth.
03
Provide information on any other individuals living in the household, including their relationship to you.
04
Answer all questions honestly and to the best of your ability.
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Submit the census 125 form by the specified deadline using the designated method, either online or by mail.
Who needs census 125?
01
Census 125 is needed by government agencies and organizations for statistical purposes, planning, and resource allocation.
02
Individuals may also need to fill out census 125 to ensure accurate representation of their demographic data in national surveys and reports.
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What is census 125?
Census 125 is a survey conducted by the government to collect demographic data.
Who is required to file census 125?
All individuals residing in the country are required to file census 125.
How to fill out census 125?
Census 125 can be filled out online or by mail using the form provided by the government.
What is the purpose of census 125?
The purpose of census 125 is to gather information about the population for planning and resource allocation.
What information must be reported on census 125?
Information such as age, gender, race, and household income must be reported on census 125.
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