Form SFN970 Multi-Agency Authorization to Disclose Information - North Dakota

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Form SFN970 Multi-Agency Authorization to Disclose Information - North Dakota

What Is Form SFN970?

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 SFN970?
A: Form SFN970 is the Multi-Agency Authorization to Disclose Information specific to North Dakota.

Q: What is the purpose of Form SFN970?
A: The purpose of Form SFN970 is to authorize the disclosure of information between multiple agencies in North Dakota.

Q: Who needs to fill out Form SFN970?
A: Form SFN970 should be filled out by individuals or organizations who wish to authorize the disclosure of their information between multiple agencies in North Dakota.

Q: Is there a fee to submit Form SFN970?
A: There is no fee to submit Form SFN970.

Q: How long does it take to process Form SFN970?
A: The processing time for Form SFN970 may vary depending on the agencies involved and the specific request for information.

Q: What types of information can be disclosed with Form SFN970?
A: Form SFN970 allows for the disclosure of various types of information, including personal, health, financial, and legal information, among others.

Q: Can I revoke or withdraw my authorization on Form SFN970?
A: Yes, you can revoke or withdraw your authorization on Form SFN970 by submitting a written request to the relevant agencies involved.

Q: Are there any restrictions on the use of information disclosed with Form SFN970?
A: The use of information disclosed with Form SFN970 should be limited to the purposes specified in the authorization and in accordance with applicable laws and regulations.

Q: Do I need to submit a new Form SFN970 for each agency?
A: Yes, you will need to submit a separate Form SFN970 for each agency you wish to authorize the disclosure of your information to.

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Form Details:

  • Released on May 1, 2003;
  • 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 SFN970 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.

Download Form SFN970 Multi-Agency Authorization to Disclose Information - North Dakota

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