Link to State of North Dakota

 

SFN 451, "Eligibility Report on Disability/Incapacity" 400-32-23-03

(Revised 2/02 ML #2788)

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This form may be used by the county social service board to submit social information to the State office for the evaluation of the Aid to the Blind - Remedial Care Program.

 

This form is available through the Department of Human Services and may also be obtained electronically via E-Forms. (180kb pdf)

 

 

 

 

 

 

 

 

 

 

 

 

 

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