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ND DHS SFN 602 2016-2025 free printable template

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STAFF INFORMATION SUMMARYNORTH DAKOTA DEPARTMENT OF HUMAN SERVICES Reappear Fieldsman 602 (102016)To be completed when a ROAD ID is requested. Staff Name (First, Middle Initial, Last)Date of Birth Date
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How to fill out ND DHS SFN 602

01
Start by downloading the ND DHS SFN 602 form from the official website.
02
Fill out the personal information section, including your name, address, and phone number.
03
Provide details about your household members, including their names, relationships, and birthdates.
04
Indicate your income sources and amounts for each household member.
05
Include information about any assets or resources you own, such as bank accounts or property.
06
Sign and date the form at the bottom, certifying that all information provided is correct to the best of your knowledge.
07
Submit the completed form to the designated office, either in person or via mail.

Who needs ND DHS SFN 602?

01
Individuals or families seeking assistance from the North Dakota Department of Human Services.
02
Those applying for programs such as food assistance, cash assistance, or medical assistance.
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ND DHS SFN 602 is a form utilized by the North Dakota Department of Human Services to report information related to public assistance programs.
Individuals or entities that receive public assistance, such as food stamps or TANF, are required to file ND DHS SFN 602.
To fill out ND DHS SFN 602, provide accurate personal and household information as prompted, ensuring all sections are completed with the required details.
The purpose of ND DHS SFN 602 is to collect necessary information for determining eligibility for public assistance programs and to monitor compliance.
Information required includes personal identification details, household composition, income sources, and expenses related to housing and childcare.
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