Homepage Free Sfn 53763 PDF Template
Table of Contents

The SFN 53763 form serves as an essential application for individuals seeking employment as BCI agents with the North Dakota Office of Attorney General. This form requires applicants to provide a range of personal information, including their name, address, and contact details, as well as their Social Security number, which is used for record-keeping purposes. Importantly, the form includes sections for veterans to claim preferences, requiring supporting documentation like the DD-214 report of separation. Educational background is another crucial aspect, where applicants must detail their high school graduation status, college education, and any special skills or licenses they hold. Additionally, the form delves into applicants' arrest records and employment history, prompting them to disclose any past legal issues or employment details, which may influence their application outcome. Furthermore, the form emphasizes the importance of a thorough background investigation, including fingerprint submission to the FBI, ensuring that all applicants meet the necessary qualifications and standards for this critical role. With a clear focus on equal opportunity and non-discrimination, the SFN 53763 form reflects the commitment of the North Dakota Office of Attorney General to uphold fair hiring practices while seeking qualified candidates for public service.

Similar forms

  • SFN 53764 - Application for BCI Agent Employment (Supplemental): This form is an extension of the SFN 53763, providing additional sections for applicants to detail their qualifications and background, ensuring a comprehensive review of their suitability for the position.
  • Articles of Incorporation: This essential document establishes a corporation within the state of Florida, detailing the corporation’s name, address, and directors. For more information, visit floridaforms.net/blank-articles-of-incorporation-form.
  • SFN 53800 - Background Investigation Consent Form: Similar in purpose, this document specifically focuses on obtaining consent from applicants for background checks, including criminal history and employment verification.
  • SFN 53801 - Employment Application: This form serves as a general application for various positions within the state, requiring similar personal information and employment history as the SFN 53763.
  • SFN 53802 - Veteran’s Preference Application: This document allows veterans to claim preference points in hiring processes, paralleling the veteran eligibility section found in the SFN 53763.
  • SFN 53803 - Disability Verification Form: This form is used to verify a candidate's disability status, akin to the disabled veteran's preference section in the SFN 53763.
  • SFN 53804 - Authorization for Release of Information: This document authorizes the release of personal information for employment verification, similar to the background investigation consent in SFN 53763.
  • SFN 53805 - Criminal History Record Check Request: This form is specifically designed to request a criminal history check, which is a critical component of the employment process outlined in SFN 53763.
  • SFN 53806 - Personal History Statement: This document collects detailed personal and professional history from applicants, similar to the extensive employment history section in SFN 53763.
  • SFN 53807 - Reference Check Form: This form gathers references from applicants, which supports the verification of information provided, akin to the thorough background investigation mentioned in SFN 53763.
  • SFN 53808 - Job Application for Law Enforcement Positions: This form is tailored for law enforcement roles, requiring similar personal and professional information as the SFN 53763 to assess candidate qualifications.

How to Use Sfn 53763

Completing the SFN 53763 form is an important step in applying for a position as a BCI agent. Once you have filled out the form, ensure that all required documents are attached, especially if you are claiming veteran’s preference or have a criminal record to disclose. Double-check your information for accuracy before mailing it to the designated office.

  1. Gather necessary information: Before starting, collect all personal information, including your name, address, phone numbers, and Social Security number.
  2. Fill in your identification details: Write your name (last, first, middle), present address, home and work telephone numbers, and Social Security number in the designated fields.
  3. Veteran's preference: Indicate if you claim veteran's preference and attach the required documentation (DD-214) if applicable.
  4. Education background: Provide details about your high school graduation status and any further education, including colleges or vocational schools attended.
  5. Employment history: List your current or most recent job first. Include details about your employer, job title, responsibilities, and the dates of employment. Repeat for additional jobs as necessary.
  6. Driving history: Indicate whether you hold a valid North Dakota driver’s license and if you’ve ever had a driver’s license from another state.
  7. Criminal record: Answer questions regarding any criminal charges, convictions, or involvement with controlled substances. Provide explanations where required.
  8. Background investigation consent: Confirm your willingness to undergo a thorough background check, including fingerprint submission.
  9. Certification and signature: Read the certification statement carefully, then sign and date the application to confirm that all information is true and complete.
  10. Mail the application: Send the completed form and any required documents to the Office of Attorney General at the address provided.

Dos and Don'ts

When filling out the SFN 53763 form for BCI agent employment, it’s essential to approach the process with care. Here’s a helpful list of dos and don’ts to guide you:

  • Do read the instructions thoroughly before starting.
  • Do provide accurate and complete information in all sections.
  • Do double-check your contact information to ensure it’s current.
  • Do attach any required documents, such as the DD-214 for veterans.
  • Don’t leave any questions unanswered; if something doesn’t apply, indicate that clearly.
  • Don’t rush through the form; take your time to avoid mistakes.
  • Don’t forget to sign and date the application before submission.
  • Don’t submit the form without making a copy for your records.

Following these guidelines can help streamline the application process and increase your chances of success. Good luck!

Document Example

 

 

 

 

 

 

MAIL TO:

 

 

 

 

APPLICATION FOR BCI AGENT EMPLOYMENT

 

 

 

 

 

 

Office of Attorney General

 

 

 

NORTH DAKOTA OFFICE OF ATTORNEY GENERAL

 

600 E Boulevard Ave Dept 125

 

 

 

SFN 53763 (06-2003)

 

 

 

Bismarck ND 58505-0040

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSTRUCTIONS

 

 

 

 

 

 

For assistance in completing this application, please call 701-328-2456.

 

 

 

 

 

 

IDENTIFICATION

 

 

 

 

 

 

 

 

 

 

 

 

1.

Name (Last, First, Middle)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

Present Address

 

City

State

Zip Code

 

 

 

 

 

 

 

 

3.

Home Telephone Number

 

Work Telephone Number

4. Social Security Number

 

 

 

 

 

 

 

 

 

In compliance with the Federal Privacy Act of 1974, the disclosure of your social security number is voluntary. The social security number is used for record keeping.

5.

 

 

 

 

 

 

 

 

 

 

DO YOU CLAIM VETERAN'S PREFERENCE?

NO

YES - Attach Report of Separation DD-214

 

 

 

DO YOU CLAIM DISABLED VETERAN'S PREFERENCE?

NO

YES - Attach Current VA Disability Certification and Report of Separation DD-214

 

VETERAN ELIGIBILITY: You must be a North Dakota resident and have served in the active military forces during a period of war as established

 

in the North Dakota Century Code 37-01-40, or received the armed forces expeditionary or other campaign service medal during an emergency

 

condition, and must have been released therefrom under honorable conditions. Applicants claiming veteran's preference must attach a copy of

 

REPORT OF SEPARATION DD214. Disabled veterans must also include a letter less than one year old from the Veteran's Administration

 

 

indicating such disability.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. Did you graduate from high school?

YES

 

If you are not a high school graduate, do you

NO

YES

 

NO

 

have a GED Equivalency Certificate?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COLLEGE, UNIVERSITY, NURSING SCHOOL, BUSINESS COLLEGE, VOCATIONAL SCHOOL, OR ANY OTHER SCHOOL YOU HAVE ATTENDED:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NUMBER OF

FIELD

 

 

 

NAME AND LOCATION

 

 

CREDITS EARNED

TYPE OF DEGREE

 

 

 

 

 

 

 

 

 

QTR.

 

SEM.

MAJOR

MINOR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Provide information on education/training you have which is not covered above. Indicate special skills you possess; languages you speak, write or

 

understand; voluntary and unpaid work experience, etc. Also, list any professional license you currently hold.

 

 

 

 

 

 

 

 

 

 

 

 

 

ARREST RECORD

 

 

 

 

 

7. Have you ever been charged, posted bond or convicted in court for any traffic or criminal violation of the law in a federal, state, or civil court?

 

NO

YES-If "YES" - complete details below:

 

 

 

 

 

 

 

 

 

STATE

PLACE

CHARGE

DISPOSITION

SFN 53763 (06-2003) Page 2

8.YOUR EMPLOYMENT HISTORY: Be specific. This information may be used to determine if your application will be accepted. Start with your present, or most recent job. Include armed forces service and any self-employment. Indicate any change of job title under the same employer as a separate position. If you need additional space, attach separate sheets using this same format.

Your Employer

 

Your duties, responsibilities, size of operation, supervision, etc.

 

 

 

 

 

 

 

Kind of Business

 

 

 

 

 

 

 

 

 

City

State

 

 

 

 

 

 

 

 

Your Title

 

 

 

 

 

 

 

 

 

Name of Your Immediate Supervisor

Title

 

 

 

 

 

 

 

 

Full Time

Hours Worked Per Week

 

 

 

Part Time

 

 

 

 

FROM (Month and Year)

TO (Month and Year)

 

 

 

 

 

 

 

 

Beginning Monthly Salary

Ending Monthly Salary

IF STILL EMPLOYED MAY WE CONTACT YOUR EMPLOYER?

YES

NO

 

 

 

 

 

 

 

Your Employer

 

Your duties, responsibilities, size of operation, supervision, etc.

 

 

 

 

 

 

 

Kind of Business

 

 

 

 

 

 

 

 

 

City

State

 

 

 

 

 

 

 

 

Your Title

 

 

 

 

 

 

 

 

 

Name of Your Immediate Supervisor

Title

 

 

 

 

 

 

 

 

Full Time

Hours Worked Per Week

 

 

 

Part Time

 

 

 

 

FROM (Month and Year)

TO (Month and Year)

 

 

 

 

 

 

 

 

Beginning Monthly Salary

Ending Monthly Salary

IF STILL EMPLOYED MAY WE CONTACT YOUR EMPLOYER?

YES

NO

 

 

 

 

 

 

 

Your Employer

 

Your duties, responsibilities, size of operation, supervision, etc.

 

 

 

 

 

 

 

Kind of Business

 

 

 

 

 

 

 

 

 

City

State

 

 

 

 

 

 

 

 

Your Title

 

 

 

 

 

 

 

 

 

Name of Your Immediate Supervisor

Title

 

 

 

 

 

 

 

 

Full Time

Hours Worked Per Week

 

 

 

Part Time

 

 

 

 

FROM (Month and Year)

TO (Month and Year)

 

 

 

 

 

 

 

 

Beginning Monthly Salary

Ending Monthly Salary

IF STILL EMPLOYED MAY WE CONTACT YOUR EMPLOYER?

YES

NO

 

 

 

 

 

 

 

SFN 53763 (06-2003) Page 3

Your Employer

 

 

 

Your duties, responsibilities, size of operation, supervision, etc.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Kind of Business

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Your Immediate Supervisor

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full Time

Hours Worked Per Week

 

 

 

 

 

 

 

 

 

 

Part Time

 

 

 

 

 

 

 

 

 

 

 

FROM (Month and Year)

TO (Month and Year)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Beginning Monthly Salary

Ending Monthly Salary

 

IF STILL EMPLOYED MAY WE CONTACT YOUR EMPLOYER?

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Employer

 

 

 

Your duties, responsibilities, size of operation, supervision, etc.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Kind of Business

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Your Immediate Supervisor

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full Time

Hours Worked Per Week

 

 

 

 

 

 

 

 

 

 

Part Time

 

 

 

 

 

 

 

 

 

 

 

FROM (Month and Year)

TO (Month and Year)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Beginning Monthly Salary

Ending Monthly Salary

 

IF STILL EMPLOYED MAY WE CONTACT YOUR EMPLOYER?

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

Do you hold a valid North Dakota Motor Vehicle

NO

YES

Class

Number

 

Restrictions

 

 

Driver's License?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.

Do you, or have you ever had a motor

NO

YES

If "yes", which state(s)?

Drivers License Number

 

 

 

vehicle driver's license from another state?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11. Have you ever been the driver of a vehicle involved in a

 

NO

YES

If "yes", list dates and locations of each below.

 

 

 

motor vehicle accident?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SFN 53763 (06-2003) Page 4

12. Have you ever been present where controlled substances such as marijuana, amphetamines, barbituates,

 

NO

 

YES

 

 

hallucinogenics, hashish, cocaine, opiates, etcetera, were being used?

 

 

 

 

 

 

 

 

 

 

 

Explain how many occasions, months and dates of last use.

 

 

 

 

 

 

 

 

 

13.Would you have any reluctance to strictly enforce any and all laws regulating the controlled substances previously mentioned?

NO

YES

14.Have you ever pled or been found guilty of a felony or ever been charged with a felony that was later dismissed under a deferred imposition of sentence?

NO

YES

If yes, explain:

15.Are you now or have you ever been a member of any organization, association, movement, group, or combination of persons which advocates the overthrow of our constitutional form of government, or which has adopted a policy of advocating or approving the commission of acts of force or violence to deny other persons their rights under the Constitution of the United States or the State of North Dakota, or of seeking to alter the form of government of the United States or the State of North Dakota by unconstitutional means?

NO

YES

16.Do you have any objection to a thorough background investigation being made on you, to include copies of your fingerprints being submitted to the FBI for examination?

NO

YES

SFN 53763 (06-2003) Page 5

17. CERTIFICATION AND AGREEMENT: PLEASE READ BEFORE SIGNING

I hereby certify that this application contains no willful misrepresentation or falsification and that the information given by me is true and complete to the best of my knowledge and belief. I am aware that should investigation at any time disclose any such misrepresentation or falsification, my application will be rejected and I may be removed from the job after appointment. I understand that under State and Federal laws, I cannot be discriminated against in employment, including consideration for promotion, for reasons of race, color, religion, national origin, sex, or on the basis of age, physical or mental disability or status with respect to marriage or public assistance. I further understand that this employment application and other employment related documents I may have been furnished are not contracts of employment; also, that any oral or written statements to the contrary are hereby expressly disavowed. The employer has my authorization to thoroughly investigate my work and personal history which is job-related. I certify that I will hold no person, corporation, or organization liable for giving or receiving information in this investigation.

Signature of Applicant:

Date:

ALL INFORMATION IS SUBJECT TO THE NORTH DAKOTA OPEN RECORDS LAW

EQUAL EMPLOYMENT OPPORTUNITY STATEMENT

The North Dakota Office of Attorney General is an equal employment opportunity agency. We do not discriminate on the basis of race, color, national origin, sex, religion, age or disability in employment or the provision of services and complies with the provisions of the North Dakota Human Rights Act.

POLICY OF NON-DISCRIMINATION ON THE BASIS OF DISABILITY

The North Dakota Office of Attorney General does not discriminate on the basis of disability in the admission or access to, or treatment or employment in, its programs or activities. The Administrative Services Commander, NDHP, 600 E. Boulevard, Bismarck, ND 58505 has been designated to coordinate compliance with the non-discrimination requirements contained in section 35.107 of the Department of Justice regulations. Information concerning the provisions of the Americans with Disabilities Act, and the rights provided thereunder, are available from the ADA coordinator.

MAIL APPLICATION TO

Office of Attorney General

600 E Boulevard Ave Dept 125

Bismarck ND 58505-0040

Referral Source

Employment Agency

Attorney General

Employee(s)

Other (Explain)

Television

Poster

Newspaper

Internet

SFN 53763 (06-2003) Page 6

APPLICANT DATA RECORD

(Completion of this form is voluntary)

PLEASE PRINT

Qualified applicants are considered for all positions, and during employment employees are treated without regard to race, color, religion, sex, national origin, age, or marital or veteran status.

As employers, we comply with government regulations and affirmative action responsibilities.

This data is for periodic government reporting and will be kept in a File SEPARATE from the Application for Employment.

Position Applied For:

Application Date:

AFFIRMATIVE ACTION SURVEY

Government agencies require periodic reports on the sex, ethnicity, handicapped, and veteran

status of applicants. These data are for analysis and affirmative action only.

PLACE AN "X" OR CHECK IN THE APPROPRIATE BOXES

Sex

 

 

 

 

 

 

 

 

 

 

Handicapped

 

 

 

 

 

 

 

Ethnic Origin

 

 

 

 

 

 

 

 

 

 

 

 

Asian/Pacific

American

 

 

 

Male

Female

 

 

Yes

 

 

 

No

Caucasian

 

 

Black

Hispanic

Islander

Indian

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

 

 

2

 

 

 

3

 

 

 

4

 

5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Veteran Service

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Disabled Veteran

 

Percent

 

 

Surviving Spouse

 

 

 

Yes

 

 

 

No

Beginning Date

Ending Date

Yes

No

 

Disabled

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

File Breakdown

Fact Name Fact Detail
Form Title Application for BCI Agent Employment
Form Number SFN 53763
Governing Law North Dakota Century Code 37-01-40
Submission Address Office of Attorney General, 600 E Boulevard Ave Dept 125, Bismarck, ND 58505-0040
Veteran's Preference Applicants may claim veteran's preference if they attach a Report of Separation (DD-214).
Background Check Applicants must consent to a thorough background investigation, including fingerprint submission to the FBI.
Contact Information For assistance, call 701-328-2456.
Equal Employment Opportunity The North Dakota Office of Attorney General complies with the North Dakota Human Rights Act.

Common mistakes

Filling out the SFN 53763 form for BCI agent employment is a crucial step in the application process. However, many applicants make common mistakes that can lead to delays or even rejection of their applications. Here are six of those mistakes to avoid.

One frequent error is failing to provide complete and accurate personal information. Applicants often forget to include their full name, current address, or contact numbers. This information is vital for processing the application and for communication purposes. Leaving out any of these details can result in unnecessary complications.

Another mistake involves the social security number. While the form states that providing this number is voluntary, omitting it can hinder the background check process. It’s recommended to include your social security number, as it helps streamline record-keeping and verification.

Many applicants overlook the importance of attaching necessary documentation, especially when claiming veteran's preference. If you indicate that you are a veteran, you must attach your Report of Separation (DD-214). Failing to do so can lead to the denial of the preference you are entitled to, which could affect your chances of being hired.

In the education section, some individuals do not list all relevant qualifications. It’s essential to include not just degrees but also certifications and special skills. This information showcases your qualifications and can set you apart from other candidates. Neglecting to provide a comprehensive view of your education and skills can limit your appeal to potential employers.

When it comes to the employment history section, being vague can be detrimental. Applicants sometimes provide insufficient details about their previous roles, responsibilities, and the nature of their work. Instead, it’s beneficial to be specific about your duties and the skills you developed. This clarity helps employers understand your background better and assess your fit for the position.

Lastly, many people fail to read the certification and agreement section carefully before signing. This part requires applicants to affirm that all provided information is true and complete. Misrepresentation can lead to serious consequences, including disqualification from the hiring process. Always double-check your application for accuracy and completeness before submitting it.

By being aware of these common pitfalls, applicants can enhance their chances of successfully completing the SFN 53763 form and moving forward in the hiring process.

FAQ

What is the purpose of the SFN 53763 form?

The SFN 53763 form is an application for employment as a BCI (Bureau of Criminal Investigation) agent with the North Dakota Office of the Attorney General. It collects essential information about the applicant, including personal identification, educational background, work history, and any relevant legal or military experience. This information helps the hiring agency assess the qualifications and suitability of candidates for the position.

Who should complete the SFN 53763 form?

Anyone interested in applying for a BCI agent position in North Dakota should complete the SFN 53763 form. This includes individuals with military backgrounds, educational qualifications, and relevant work experience. If you are a veteran or a disabled veteran, there are specific sections in the form that allow you to claim preferences based on your service, which could enhance your application.

What information do I need to provide on the form?

The form requires a variety of information. You will need to provide your name, address, phone numbers, and social security number (disclosure is voluntary). Additionally, you should detail your educational history, including any degrees earned and special skills. Employment history is also crucial, as it must include specific duties, responsibilities, and contact information for previous employers. If applicable, you should include information regarding any criminal charges or convictions, as this may impact your eligibility.

Is there a preference for veterans in the hiring process?

Yes, the SFN 53763 form allows applicants to claim veteran's preference, which can give you an edge in the hiring process. To qualify, you must be a resident of North Dakota and have served honorably in the military during specific periods of conflict. If you are a disabled veteran, additional documentation is required, such as a current VA disability certification and your Report of Separation (DD-214).

Where do I send my completed SFN 53763 form?

Once you have completed the SFN 53763 form, you should mail it to the Office of Attorney General at the following address: 600 E Boulevard Ave, Dept 125, Bismarck, ND 58505-0040. Make sure to double-check that all sections are filled out completely and accurately before sending it in to avoid any delays in the application process.