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This version of the form is not currently in use and is provided for reference only. Download this version of
Form SFN958
for the current year.
Form SFN958 Health Care Application for the Elderly and Disabled - North Dakota
What Is Form SFN958?
This is a legal form that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form SFN958?
A: Form SFN958 is an application form for health care benefits for the elderly and disabled in North Dakota.
Q: Who can use Form SFN958?
A: Form SFN958 can be used by individuals who are elderly or disabled and reside in North Dakota.
Q: What is the purpose of Form SFN958?
A: The purpose of Form SFN958 is to apply for health care benefits for the elderly and disabled in North Dakota.
Q: Are there any eligibility criteria to qualify for health care benefits?
A: Yes, there are eligibility criteria based on age, disability, income, and residency.
Q: What documents are required to complete Form SFN958?
A: Documents such as proof of age, disability, income, and residency may be required to complete Form SFN958.
Q: How can I submit Form SFN958?
A: Form SFN958 can be submitted by mail or in-person at the North Dakota Department of Human Services office.
Q: What happens after submitting Form SFN958?
A: After submitting Form SFN958, the application will be reviewed, and if approved, health care benefits will be provided.
Q: Is there a deadline to submit Form SFN958?
A: There is no specific deadline mentioned for submitting Form SFN958, but it is recommended to apply as soon as possible.
Q: Who should I contact for more information?
A: For more information, contact the North Dakota Department of Human Services.
Form Details:
- Released on November 1, 2019;
- The latest edition provided by the North Dakota 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 SFN958 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.
Download Form SFN958 Health Care Application for the Elderly and Disabled - North Dakota
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