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WATER HEATER AND SMOKE DETECTOR
STATEMENT OF COMPLIANCE
(C.A.R. Form WHS, Revised 11/09)
Property Address: 123 Any Street, Any CityCA00000NOTE: A seller who is not required to provide one of the following
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What is form whsd revised 1109?
Form whsd revised 1109 is a document used for reporting certain information related to healthcare services.
Who is required to file form whsd revised 1109?
Healthcare providers and organizations that provide specific healthcare services are required to file form whsd revised 1109.
How to fill out form whsd revised 1109?
Form whsd revised 1109 can be completed by providing the necessary information requested in each section of the form.
What is the purpose of form whsd revised 1109?
The purpose of form whsd revised 1109 is to collect data on healthcare services provided for regulatory and statistical purposes.
What information must be reported on form whsd revised 1109?
Form whsd revised 1109 requires information such as type of healthcare services provided, number of patients served, and other relevant details.
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