Date: - public health oregon 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in the 'Name of entity' and 'Address' sections. Ensure that all details are accurate, as this information identifies the organization proposing the project.
3. Next, provide contact details for the person filling out the form if different from the entity listed. This ensures clear communication regarding your proposal.
4. In section three, include a concise general project description. Be specific about what your project entails to give reviewers a clear understanding.
5. For financial projections, complete section four with estimated capital expenditures and financing terms if applicable. This is crucial for assessing project viability.
6. If proposing new hospital services, fill out section five with detailed operating costs and attach a budget forecast for the first three years of operation.
7. Complete any relevant sections based on whether your project involves long-term care facilities or other specific services outlined in sections six through ten.
8. Finally, review all entries for accuracy before signing and dating at the bottom of the form to finalize your submission.

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