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PRINTED: 12/02/2022 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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Unsubstantiated intake nc00193092 is a form used to report allegations of misconduct or wrongdoing that could not be verified.
Any individual or organization that becomes aware of misconduct or wrongdoing and cannot verify the allegations is required to file an unsubstantiated intake nc00193092.
To fill out unsubstantiated intake nc00193092, one must provide detailed information about the allegations, any supporting evidence, and the steps taken to try to verify the claims.
The purpose of unsubstantiated intake nc00193092 is to document and track allegations of misconduct or wrongdoing that could not be confirmed, in order to identify any patterns or trends.
The information reported on unsubstantiated intake nc00193092 should include details of the allegations, any supporting evidence, the steps taken to verify the claims, and any relevant dates or times.
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