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PRINTED: 01/27/2022 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:TRINITY COMMONS (X4) ID PREFIX

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What is trinity commons?

Trinity Commons is a form used to report certain information about individuals associated with a particular organization.

Who is required to file trinity commons?

Entities or organizations that meet specific criteria outlined by the regulations.

How to fill out trinity commons?

Trinity Commons can be filled out electronically or by mail following the instructions provided by the relevant authorities.

What is the purpose of trinity commons?

The purpose of Trinity Commons is to provide transparency and accountability regarding the individuals associated with an organization.

What information must be reported on trinity commons?

Information such as names, positions, and compensation of individuals associated with the organization.

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