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 Form SFN61976?
A: Form SFN61976 is the application for a Provider License/(Covid-19) in North Dakota.
Q: What is the purpose of Form SFN61976?
A: The purpose of Form SFN61976 is to apply for a Provider License/(Covid-19) in North Dakota.
Q: Is Form SFN61976 specific to North Dakota?
A: Yes, Form SFN61976 is specific to North Dakota.
Q: What is the Provider License/(Covid-19) application for?
A: The Provider License/(Covid-19) application is for individuals or entities seeking to provide services related to Covid-19 in North Dakota.
Form Details:
Download a fillable version of Form SFN61976 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.