Form SFN60465 "North Dakota Homeless Grant (Ndhg) Transporation Activity" - North Dakota

What Is Form SFN60465?

This is a legal form that was released by the North Dakota Department of Commerce - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2014;
  • The latest edition provided by the North Dakota Department of Commerce;
  • 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 SFN60465 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Commerce.

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Download Form SFN60465 "North Dakota Homeless Grant (Ndhg) Transporation Activity" - North Dakota

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NORTH DAKOTA HOMELESS GRANT (NDHG) TRANSPORATION ACTIVITY
NORTH DAKOTA DEPARTMENT OF COMMERCE
DIVISION OF COMMUNITY SERVICES
SFN 60465 (1/14)
Participant Name
Transportation
This activity will be included the Shelter Operations and Homeless Prevention components.
The transportation costs of travel by program participants to another state. This will be a one-
time payment per program participant. In order to pay for transportation cost to relocate people
to destination outside the state, the program participant must agree to the following:
Program participant must provide written documentation that they have housing in
place at their destination. (See Attached)
Program participant must sign this form agreeing that this is a one-time assistance
and acknowledge that they will not be eligible for the same assistance in the future.
Program participant must agree to let us keep track of this assistance and allow us to
share this information with other homeless service providers in the State.
Participant Signature
Date
Intake Staff Signature
Date
NORTH DAKOTA HOMELESS GRANT (NDHG) TRANSPORATION ACTIVITY
NORTH DAKOTA DEPARTMENT OF COMMERCE
DIVISION OF COMMUNITY SERVICES
SFN 60465 (1/14)
Participant Name
Transportation
This activity will be included the Shelter Operations and Homeless Prevention components.
The transportation costs of travel by program participants to another state. This will be a one-
time payment per program participant. In order to pay for transportation cost to relocate people
to destination outside the state, the program participant must agree to the following:
Program participant must provide written documentation that they have housing in
place at their destination. (See Attached)
Program participant must sign this form agreeing that this is a one-time assistance
and acknowledge that they will not be eligible for the same assistance in the future.
Program participant must agree to let us keep track of this assistance and allow us to
share this information with other homeless service providers in the State.
Participant Signature
Date
Intake Staff Signature
Date