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Get ND SFN 16610 2011-2024

An unaltered copy of the applicant’s original training certificate received after successful completion of an AHERA-accredited training course. Include all refresher certificates for initial certifications or if your certification has been expired for more than three years. OFFICE USE ONLY Do not write in this space 2. A check or money order payable to the North Dakota Department of Health in the amount of $50 per discipline. The $50 fee is waived for public employees. Check Number ________.

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