This version of the form is not currently in use and is provided for reference only. Download this version of Form SFN61649 for the current year.
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.
Q: What is the Form SFN61649?
A: Form SFN61649 is a request for a waiver to all or a portion of a licensure standard for basic care facilities in North Dakota.
Q: What does the Form SFN61649 do?
A: The Form SFN61649 allows basic care facilities in North Dakota to request a waiver to all or a portion of a licensure standard.
Q: Who can use the Form SFN61649?
A: Basic care facilities in North Dakota can use the Form SFN61649 to request a waiver to all or a portion of a licensure standard.
Q: Why would a basic care facility request a waiver?
A: A basic care facility may request a waiver if they believe they have a valid reason for not meeting a licensure standard.
Form Details:
Download a fillable version of Form SFN61649 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.