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FIRST DISTRICT HEALTH UNIT 801 11TH AVE SW PO BOX 1268 MINOT ND 58702-1268 PHONE (701)-852-1376 FAX (701)-852-5043 www.fdhu.org Plan Review Request NAME OF FACILITY NAME OF OWNER FACILITY ADDRESS

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How to fill out FDHU:

1. Start by gathering all the necessary information and documents required for filling out the FDHU form. This may include personal identification details, contact information, and any relevant supporting documentation.
2. Carefully read through the instructions provided with the FDHU form to understand the requirements and guidelines for completion. Make sure you have a clear understanding of what information needs to be provided and how it should be formatted.
3. Begin filling out the FDHU form by entering your personal details accurately. This may include your full name, date of birth, address, and social security number. Double-check the information you enter to avoid any mistakes.
4. Proceed to fill out the remaining sections of the FDHU form, such as any financial information, employment details, or educational background if required. Be sure to provide accurate and truthful information throughout the form.
5. Attach any necessary supporting documentation as instructed on the form. This may include copies of identification documents, proof of income, or any other documents that validate the information provided on the form. Ensure that all attached documents are legible.
6. Review the completed FDHU form thoroughly before submitting it. Check for any errors or missing information. It may be helpful to seek assistance from a trusted individual or professional if needed.
7. Once you are satisfied with the accuracy and completeness of the form, sign and date it as required. Follow any additional instructions regarding submission, such as mailing the form to the designated address or submitting it electronically.

Who needs FDHU:

1. Individuals who require financial assistance or support from the FDHU program may need to fill out the FDHU form. This program is designed to provide aid to those who meet specific eligibility criteria, such as low-income individuals or families facing financial hardship.
2. Students pursuing higher education may also need to fill out the FDHU form as it is often required when applying for financial aid, scholarships, or grants. It helps determine the student's eligibility for various financial assistance programs.
3. Individuals experiencing a change in their financial situation, such as job loss or a significant decrease in income, may need to fill out the FDHU form to assess their eligibility for temporary financial assistance.
4. Some organizations or institutions may require individuals to fill out the FDHU form as part of their application process or to determine eligibility for specific programs or benefits. It is advisable to check with the relevant authorities or organizations to confirm the necessity of filling out the FDHU form.

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