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  • Fr Cerfa 1473203 2020

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N14732 03DOSSIER DE DEMAND UNIQUE EN DUE DUNE ADMISSION TEMPORARY OF PERMANENT EN TABLISSEMENT DHBERGEMENT POUR PERSONNEL AGES PENDANTS (EHPAD) Article D. 3121550 Du code de action social et DES.

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How to fill out the FR CERFA 1473203 online

The FR CERFA 1473203 form is essential for requesting temporary or permanent admission to a long-term care facility for dependent elderly individuals. This guide provides clear and supportive instructions for filling out this form online.

Follow the steps to complete the FR CERFA 1473203 online.

  1. Click the ‘Get Form’ button to access the form and open it in the editor.
  2. Begin by filling in your personal information including your name and surname, and the date of submission.
  3. Indicate the desired type of accommodation: permanent or temporary. For each type, provide the preferred entry date and specify if immediate admission is required.
  4. If temporary accommodation is selected, detail the duration of stay in days. Also, indicate if admission with a partner is desired.
  5. For day or night reception, specify the desired entry date along with the frequency of attendance (e.g., the number of days or nights per week).
  6. In the important information section, ensure to read carefully the instructions about submitting the request and additional documents required.
  7. Fill out the administrative section with the civil status, details of the current residence, and contact information.
  8. Complete the section regarding financial aspects indicating how the costs will be covered.
  9. After completing the form, review all information for accuracy and completeness.
  10. Save your changes, and choose to download, print, or share the completed form as needed.

Encourage others to fill out their documents online for a streamlined process.

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