Get Nd Sfn 958 2017-2025

This guide provides clear instructions for users on how to effectively fill out the ND SFN 958, a health care application for elderly and disabled individuals, online. Follow these steps to ensure your application is completed accurately and efficiently.

Follow the steps to complete your application online.

1. Press the ‘Get Form’ button to access the ND SFN 958 and open it in an online editor.
2. Indicate the assistance programs for which you are applying by checking all relevant boxes. This may include health care coverage, aid to the blind, Medicare savings programs, or basic care assistance. Refer to the application guide for more information on each program.
3. Proceed to answer all questions as completely as possible. If you encounter any difficulty, consider seeking assistance from a friend or relative, or contact your local county social service office for support.
4. If additional space is needed for any answers, attach a separate sheet of paper detailing your responses.
5. Include verifications of citizenship or alien status, current assets, expenses, income, and identity by attaching the necessary documentation, as outlined in the application instructions.
6. Complete the section with your personal information, including your first name, last name, address, contact details, and any preferred methods of notification such as text or email.
7. List all household members, their relation to you, and pertinent information, such as age, marital status, social security number, and ethnic background as required by the form.
8. Detail your household assets and income. You will need to indicate if you or other household members own any assets or receive any types of income.
9. Sign and date the form to certify that all information provided is true and correct. Ensure that you review the rights and responsibilities before submission.
10. Submit your completed application along with any attachments to your local county social service office. Ensure that you keep a copy for your records.

Start filling out your ND SFN 958 application online today for health care coverage.