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Form LTC-38 Assisted Living Facility Notification of Room and Board (R&b) Supplementation - New Jersey
What Is Form LTC-38?
This is a legal form that was released by the New Jersey Department of Human Services - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form LTC-38?
A: Form LTC-38 is the Assisted Living Facility Notification of Room and Board (R&b) Supplementation form in New Jersey.
Q: What is the purpose of Form LTC-38?
A: The purpose of Form LTC-38 is to notify the New Jersey Department of Health of any supplementation provided by an Assisted Living Facility (ALF) for room and board.
Q: Who needs to fill out Form LTC-38?
A: Assisted Living Facilities in New Jersey need to fill out Form LTC-38.
Q: What information is required on Form LTC-38?
A: Form LTC-38 requires information such as the name and address of the ALF, the amount of supplementation provided, and the resident's name and room number.
Form Details:
- Released on October 1, 2015;
- The latest edition provided by the New Jersey Department of Human Services;
- 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 Form LTC-38 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Human Services.
