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Subpart 1.

Withdrawal request.


A program participant or an applicant, if different, may withdraw from Safe at Home by submitting a signed withdrawal request along with any Safe at Home cards.


The withdrawal request shall include a statement that the program participant or applicant:


wants to withdraw from Safe at Home; and


understands that it is the responsibility of the program participant or applicant, if different, to notify all persons of a new mailing address at which the participant can be contacted.


The program participant shall list the names of any minor children who are being withdrawn from the program on the withdrawal request.


The program participant or applicant may request mail be forwarded up to 30 days immediately following the date on which the withdrawal is effective and may provide an address to which mail should be forwarded for this period, if different than the mailing address on record. The secretary of state may only forward mail within the United States.


The program participant or applicant may include the date on which the participant would like the withdrawal to be effective.

Subp. 2.

Signature verification.

Before terminating a program participant's certification, the secretary of state must compare the signature of the program participant or applicant on the withdrawal request with the signature on the original application or on any other document on file with the secretary of state and conclude that the signatures are the same.

Subp. 3.


Certification as a program participant shall be terminated upon withdrawal. The termination is effective on the day the withdrawal request is received by the secretary of state, unless the participant designated a future effective date on the withdrawal request.

Subp. 4.

Mail forwarding.

Mail received at the designated address for the program participant other than mail designated "Do Not Forward," "Return Service Requested," "Service of Process," or similarly designated, must be forwarded to the program participant for 30 days after the effective date of withdrawal, unless the program participant or applicant has designated a shorter period. After 30 days mail must be returned to the sender.

Subp. 5.


A program participant whose certification is withdrawn may reapply or have an applicant reapply on the program participant's behalf pursuant to part 8290.0200.

Statutory Authority:

MS s 5B.08


34 SR 819; 39 SR 1378

Published Electronically:

March 30, 2015

Official Publication of the State of Minnesota
Revisor of Statutes