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AHCA Form 3180-1006 Notification of Change of Administrator - Florida
What Is AHCA Form 3180-1006?
This is a legal form that was released by the Florida Agency For Health Care Administration - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is AHCA Form 3180-1006?
A: AHCA Form 3180-1006 is a Notification of Change of Administrator form in Florida.
Q: What is the purpose of AHCA Form 3180-1006?
A: The purpose of AHCA Form 3180-1006 is to notify the Agency for Health Care Administration (AHCA) in Florida of a change in administrator for a healthcare facility.
Q: Who needs to fill out AHCA Form 3180-1006?
A: The current administrator or authorized representative of the healthcare facility needs to fill out AHCA Form 3180-1006.
Q: Are there any fees associated with submitting AHCA Form 3180-1006?
A: There are no fees associated with submitting AHCA Form 3180-1006.
Q: Is AHCA Form 3180-1006 required by law?
A: Yes, AHCA Form 3180-1006 is required by law in Florida for healthcare facilities to report changes in administrators.
Form Details:
- Released on June 1, 2016;
- The latest edition provided by the Florida Agency For Health Care Administration;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of AHCA Form 3180-1006 by clicking the link below or browse more documents and templates provided by the Florida Agency for Health Care Administration.
Download AHCA Form 3180-1006 Notification of Change of Administrator - Florida
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