Get Nd Dhs Sfn 929 2020-2026

The ND DHS SFN 929 is an important agreement for those providing respite care under the North Dakota Department of Human Services. This guide will assist you in filling out the form accurately and efficiently to ensure compliance and clarity.

Follow the steps to complete the ND DHS SFN 929 form online.

1. Press the ‘Get Form’ button to retrieve the ND DHS SFN 929 document and open it for editing.
2. Begin by entering the name of the licensed foster care or child care provider in the designated field.
3. Fill in the effective date of the provider’s license and the expiration date to confirm licensing status.
4. Input the provider number as listed in the licensing documents.
5. Indicate the current bed capacity and respite bed capacity to reflect the provider's availability.
6. Review the agreement section, ensuring all provisions about the care of the child including safety plans, supply requirements, and confidentiality are understood and acknowledged.
7. Enter the details of the child being cared for, including their name, custodian or agency information, and the respite start and end dates, ensuring the end date does not exceed 96 hours.
8. List the emergency contact details for the child, including telephone numbers.
9. Specify the daily rate for care provided, taking into account the child's needs and the possible additional costs that may incur.
10. Note any comments or details about additional costs and attach any required child care bills.
11. In the payment section, indicate the reimbursement requirements by marking the applicable option.
12. Complete the signature section by having both the department and provider sign and date the form.
13. After verifying that all fields are completed accurately, save your changes, and prepare to download, print, or share the form as needed.

Take action now by completing the ND DHS SFN 929 online to facilitate effective respite care.