Form SFN61976 Als Provider License / (Covid-19) Application - North Dakota

Form SFN61976 Als Provider License / (Covid-19) Application - North Dakota

What Is Form SFN61976?

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 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.

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Form Details:

  • Released on December 1, 2020;
  • 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;

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.

Download Form SFN61976 Als Provider License / (Covid-19) Application - North Dakota

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