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Form DMA-9052 Adult Care Home Notice of Transfer / Discharge - North Carolina
What Is Form DMA-9052?
This is a legal form that was released by the North Carolina Department of Health and Human Services - a government authority operating within North Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is a DMA-9052 form?
A: The DMA-9052 form is a notice of transfer/discharge for adult care homes in North Carolina.
Q: Who uses the DMA-9052 form?
A: The DMA-9052 form is used by adult care homes in North Carolina to notify residents/families of the intent to transfer or discharge.
Q: What is the purpose of the DMA-9052 form?
A: The purpose of the DMA-9052 form is to inform residents/families of adult care homes in North Carolina about planned transfers or discharges.
Q: What information is included in the DMA-9052 form?
A: The DMA-9052 form includes information about the reason for transfer/discharge, proposed destination, and the resident's rights and options.
Q: Is the DMA-9052 form mandatory?
A: Yes, adult care homes in North Carolina are required to use the DMA-9052 form to provide notice of transfer/discharge to residents/families.
Form Details:
- Released on May 1, 2015;
- The latest edition provided by the North Carolina Department of Health and 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 fillable version of Form DMA-9052 by clicking the link below or browse more documents and templates provided by the North Carolina Department of Health and Human Services.
