By submitting this Questionnaire, the Applicant represents and warrants that the information provided herein is accurate and complete, to the best of its knowledge. Applicant understands and agrees that the RCE is expressly relying upon the information in this Questionnaire, including all attachments and documents incorporated by reference to evaluate whether the Applicant has demonstrated U.S. ownership and control pursuant to the Means to Demonstrate U.S. Ownership and Control of a QHIN SOP.
