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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 SFN1909
for the current year.
Form SFN1909 Application for Health Coverage and Help Paying Costs - North Dakota
What Is Form SFN1909?
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 SFN1909?
A: Form SFN1909 is the Application for Health Coverage and Help Paying Costs in North Dakota.
Q: Who can use Form SFN1909?
A: North Dakota residents who need health coverage and assistance with paying for healthcare costs can use Form SFN1909.
Q: What does Form SFN1909 help with?
A: Form SFN1909 helps individuals and families apply for health coverage and financial assistance for healthcare costs.
Q: Is there a fee to submit Form SFN1909?
A: No, there is no fee to submit Form SFN1909.
Q: What information do I need to complete Form SFN1909?
A: You will need information about your household, income, assets, and expenses to complete Form SFN1909.
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 SFN1909 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.
Download Form SFN1909 Application for Health Coverage and Help Paying Costs - North Dakota
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