Link to State of North Dakota

 

Background Check Address Disclosure, SFN 466 660-05-65-75

(Revised 1/1/08 ML 3118)

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All applicants/providers and anyone age 18 or over living in the foster home, other than foster care recipients, are subject to mandatory state and nationwide background checks. Individuals who provide respite care in the home of a provider or those acting as substitute caregivers are also subject to the state and nationwide background check requirement.

 

Applicants are required to complete the form and return to the County Social Service Agency. The County Social Service Agency will review for completion and send the form to the Division for processing.

 

SFN 466 has an attached carbon copy. Copies of this form can be obtained from Aging Services by contacting the Division.

 

 

 

 

 

 

 

 

 

 

 

 

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