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Get Criminal History Disclosure Form

Services 600 E Boulevard Ave Dept 325 Bismarck ND 58505-0250 dhscfscbc nd.gov FAX: 701-328-3538 Clear Fields SFN 377 (5-2011) Criminal history background checks are required for individuals pursuant to NDCC 50-11 (Foster Care Homes & Facilities), NDCC 50-11.1 (Early Childhood Services Programs), NDCC 50-11.3-01 (Prospective Legal Guardian of a Child) and NDCC 50-12 (Prospective Adoptive Parent). Applicants must complete the SFN 377 (Criminal History Background Check Address Disclosure/Releas.

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