Sfn 517 2025

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The document is a Child Care Evacuation Disaster Plan from the North Dakota Department of Human Services, outlining procedures for child care providers to follow in the event of a natural disaster or catastrophic event. It includes sections for contact information for relocation within and outside the community, emergency contacts, critical items to take during evacuation, and requirements for reporting location changes to licensing agents. Providers are instructed to keep a copy of the plan and submit it to their county licensor.

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Click ‘Get Form’ to open the SFN 517 in the editor.
Begin by entering your Child Care Provider/Program Legal Name, License Number, and today's date in the designated fields.
Fill in your address details including City, State, Telephone Number, Cell Phone Number, and ZIP Code.
In the first choice section for relocation within the same community, provide a contact name and their address. Include their city, state, telephone number, cell phone number, and additional contact information.
Repeat step 4 for the second choice within the same community.
For outside of community options, enter the contact name and their address along with all relevant contact details.
Complete the emergency contact section with a name and their address. Ensure you include all necessary phone numbers and email addresses.
Acknowledge understanding of critical items to take during evacuation by listing them as needed.
Sign and date the form at the bottom before returning it to your county licensor.

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