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PRINTED: 04/13/2018 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION
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e 032 primaryalternate means is a form used to designate primary and alternate beneficiaries for certain benefits or assets.
Individuals who wish to designate primary and alternate beneficiaries for specific benefits or assets are required to file e 032 primaryalternate means.
To fill out e 032 primaryalternate means, individuals must provide their personal information, specify the primary and alternate beneficiaries, and sign the form.
The purpose of e 032 primaryalternate means is to ensure that designated beneficiaries receive specific benefits or assets in the event of the individual's death or incapacitation.
On e 032 primaryalternate means, individuals must report their personal information, contact details, relationship to the beneficiaries, and details of the benefits or assets being designated.
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