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Printed: 02/10/2023 Form Approved OMB No. 09380391Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA
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Form price of dignity is a document used to report the financial transactions related to maintaining one's self-respect and honor.
Individuals who have incurred expenses related to preserving their dignity are required to file form price of dignity.
To fill out form price of dignity, one must provide detailed information about the expenses incurred for maintaining dignity, along with supporting documents.
The purpose of form price of dignity is to ensure transparency in reporting expenses related to preserving one's self-respect.
The form requires details of the expenses incurred, the reason for incurring those expenses, and any supporting documentation.
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