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CHILD ABUSE AND NEGLECT BACKGROUND INQUIRY NORTH DAKOTA DEPARTMENT OF HUMAN SERVICES Clear Fields SFN 433 11-2016 Part I Agency/Organization Information Agency/Organization Contact Person Wide Horizons For Children Inc. Mary Shaughnessy-Moy Telephone Number 781 894-5330 Address City State 375 Totten Pond Rd. No tribal agency registry information is available through the state Index. The above-named individual is not listed on the ND Child Abuse/Neglect Information Index. A photocopy of this...

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What is part i agency/organization information?

Part I agency/organization information includes details about the entity filing the report, such as name, address, and contact information.

Who is required to file part i agency/organization information?

All organizations or agencies that are required to submit the report must complete Part I agency/organization information.

How to fill out part i agency/organization information?

Part I agency/organization information should be filled out by providing accurate and up-to-date details about the filing entity as requested in the form.

What is the purpose of part i agency/organization information?

The purpose of Part I agency/organization information is to identify and provide contact information for the entity submitting the report.

What information must be reported on part i agency/organization information?

Part I agency/organization information typically includes entity name, address, contact person, and other relevant details.

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