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CLEARVIEW COMPLETE REACTIVE/NONREACTIVE CONTROL LOG NORTH DAKOTA DEPARTMENT OF HEALTH DIVISION OF DISEASE CONTROL SFN 59072 10-09 Facility Name Date Street Address City Contact Person Telephone Number Return a copy of this form every 6 months to North Dakota Department of Health Division of Disease Control 2635 East Main Ave Bismarck ND 58506 Fax Number 701. 328. 2499 --or-Send in a copy with the HIV Test Forms Contact the HIV Prevention Coordinator with any questions or concerns at 701. 328....
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The sfn 59072 form is a document used for reporting specific information to the relevant authority.
Individuals or entities specified by the authority are required to file the sfn 59072 form.
To fill out the sfn 59072 form, you need to provide the required information in the designated fields as instructed by the authority.
The purpose of the sfn 59072 form is to gather and report specific information deemed necessary by the authority.
The information required to be reported on the sfn 59072 form may vary, but it typically includes details such as name, address, financial data, and any other information specified by the authority.
The specific deadline to file the sfn 59072 form in 2023 will be determined and communicated by the authority. Please refer to the official guidelines or contact the relevant authority for the exact deadline.
The penalty for the late filing of the sfn 59072 form may vary depending on the rules and regulations of the authority. It is advisable to consult the official guidelines or contact the relevant authority to know the exact penalty.
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