Get Nd Sfn 16610 2011-2025

This guide provides clear and comprehensive instructions for completing the ND SFN 16610, the asbestos certification application form used by the North Dakota Department of Health. The following steps will assist you in accurately filling out the form and ensuring all necessary information is provided.

Follow the steps to fill out the ND SFN 16610 online with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your full name in the designated field, formatted as Last, First, Middle.
3. Input your home street address, followed by your city, state, and zip code.
4. Provide your date of birth in the format Month/Day/Year.
5. Fill in your home telephone number. Ensure all numbers are accurate and complete.
6. Enter your social security number in the specified field.
7. Complete the employer information section, starting with the employer’s name and address, city, state, and zip code.
8. Indicate whether you are a citizen of the United States, checking 'Yes' or 'No' as applicable.
9. If you are not a U.S. citizen, provide your Alien Registration Number.
10. Check the box if you have previously been certified in North Dakota and enter your certification number if applicable.
11. Select the certification discipline(s) for which you are applying by checking the corresponding box, indicating whether it is for Initial or Recertification.
12. If applicable, attach an unaltered copy of your original training certificate and any refresher certificates, ensuring they meet the general requirements.
13. Prepare a check or money order made payable to the North Dakota Department of Health for $50 per discipline, noting that the fee is waived for public employees.
14. At the end of the form, certify the accuracy of the information provided by signing your name and dating the application.
15. Finally, review your application for completeness, then save your changes, download, print, or share the form as needed.

Complete your asbestos certification application online today!