Form SFN58454 North Dakota Immunization Record Request - North Dakota

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form SFN58454 for the current year.

Form SFN58454 North Dakota Immunization Record Request - North Dakota

What Is Form SFN58454?

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 SFN58454?
A: Form SFN58454 is the North Dakota Immunization Record Request form.

Q: What is the purpose of Form SFN58454?
A: The purpose of Form SFN58454 is to request an individual's North Dakota immunization record.

Q: How do I fill out Form SFN58454?
A: To fill out Form SFN58454, you need to provide the individual's personal information and sign the form.

Q: Is there a fee for requesting an immunization record using Form SFN58454?
A: Yes, there is a fee for requesting an immunization record using Form SFN58454. The fee amount is specified on the form.

Q: How long does it take to process a request using Form SFN58454?
A: The processing time for a request using Form SFN58454 may vary. It is recommended to contact the North Dakota Department of Health for more information.

Q: What should I do if there is an error on my immunization record obtained using Form SFN58454?
A: If there is an error on the immunization record obtained using Form SFN58454, you should contact the North Dakota Department of Health to rectify the error.

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Form Details:

  • Released on August 1, 2019;
  • 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 SFN58454 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.

Download Form SFN58454 North Dakota Immunization Record Request - North Dakota

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