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Of Care LOC Evaluation 1. PLEASE PRINT OR TYPE Initial Request 2. PATIENT NAME Last First M. I. 3. BIRTHDATE Month/Day/Year 7. PRESENT ADDRESS Present Address is Home CCFFH Other Annual Review 4. SEX Other review 5. MEDICARE Part A Yes No Part B ID NF Care Home EARCH Hospital 6. MEDICAID ELIGIBLE Yes ID No Date Applied 8. Medicaid Provider Number If applicable 9. ATTENDING PHYSICIAN/PRIMARY CARE PROVIDER PCP Last Name First Name Middle Initial Phone Fax 10. RETURN FORM TO SERVICE...
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Hi this is TJ lots with pursuit advantage consulting, and today I'm going to run through the standard form 1442 which is the solicitation offer and award document for construction alterations or repair contracts with federal government this is the most important document when doing construction contracts with the federal government if you don't fill it out correctly you will be deemed non-compliant and be thrown out of consideration, so it is pretty important the standard fort form 1442 also called the SF 1442 has 31 boxes on it located on the front and back page, and I'll run through it here the government will fill out the first page boxes 1 to 13, and you see up here box 1 is a solicitation number which is the unique number given to each RFP or IF Bout there the first digits here are the code of the contracting agency which is now fact Southwest in this case the next numbers are the year the fiscal year that this contract is out are represents it is an RFP if it were invitation to b

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