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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 an application for health coverage and help paying costs in North Dakota.
Q: What is the purpose of Form SFN1909?
A: The purpose of Form SFN1909 is to apply for health coverage and financial assistance for healthcare costs in North Dakota.
Q: Who can use Form SFN1909?
A: Residents of North Dakota who need health coverage and financial assistance for healthcare costs can use Form SFN1909.
Q: What information is required on Form SFN1909?
A: Form SFN1909 requires information about your household, income, assets, and health insurance coverage.
Form Details:
- Released on October 1, 2021;
- 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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