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Plant Cost Certification Forms

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Plant Cost Certification Data Forms:  Used by Long Term Care Provider to certify plant costs incurred by the provider that has constructed, purchased, renovated, or built an addition to the existing facility. Forms in Excel format. Printed size, 8 letter size pages.  PCCERT.xls 

Plant Cost Certification Forms:  Used by Long Term Care Providers to certify plant costs incurred by provider. One page Certification Statement which must be signed and submitted with plant cost data forms. One page is a listing of required Supporting Documentation which must be submitted with the certification.  LTC-21.doc


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