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Get Nd Sfn 669 2016-2026

Rk Telephone Number: Applicant 2: Home Telephone Number: Work Telephone Number: Street Address: City: State: Persons Currently Residing in Household (Not AFC Residents) NAME AGE BIRTHDATE ZIP Code: RELATIONSHIP TO FAMILY CONTACTS - List the dates of home visits, collateral contact and persons interviewed. Applicant: Collateral Contacts: (1) (2) (3) (4) (5) (6) THE FOLLOWING COMPLETED FORMS OR REPORTS ARE ATTACHED Application (SFN 1013) Yes No Fire Safety - Self Declaration (S.

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How to fill out the ND SFN 669 online

The ND SFN 669 form is essential for individuals seeking to provide adult foster care in North Dakota. This guide will help you navigate through the online form, ensuring that you complete all necessary sections accurately and efficiently.

Follow the steps to complete the ND SFN 669 online.

  1. Click the 'Get Form' button to access the ND SFN 669 online form. This will open the form in your preferred online editor.
  2. Provide the identifying information for both applicants in the designated fields, including names, home and work telephone numbers, and street address.
  3. List all persons currently residing in the household that are not adult foster care (AFC) residents. Enter their names, ages, birthdates, zip codes, and their relationship to the family.
  4. Document all contacts made during the application process. Specifically, list the dates of home visits and collateral contacts in the appropriate sections.
  5. Indicate whether the specified completed forms or reports are attached by checking 'Yes' or 'No' for each item listed.
  6. Write a brief description of your interest in providing adult foster care and articulate your understanding of the responsibilities and potential limitations involved.
  7. Fill out information about any children residing in the home, including their names, dates of birth, and health status. Address any special concerns that may affect relationships within the home.
  8. Respond to questions regarding household members’ history with drug or alcohol problems and indicate if any member of the household has been in counseling or therapy.
  9. Complete the home safety inspection checklist provided, ensuring that all items are marked 'Yes' or 'No' based on your current living situation.
  10. Affirm the responsibilities the provider assures regarding care and operational standards by checking 'Yes' or 'No' as appropriate.
  11. Review your completed form carefully. Once you are satisfied, you can save your changes, download, print, or share the form as needed.

Complete your ND SFN 669 form online today to begin the process of providing adult foster care.

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