Forms published to eDocs (April 2018)

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Forms published to eDocs

April 2018

eDocs

Please note that the following forms may have new web addresses. Web pages or other documents that link to these forms may need to be updated.


DHS-1743-ENG ICF/DD Physician Recertification

DHS-1795-ENG SSI Interim Assistance Authorization

DHS-2727-ENG Long-Term Services and Supports Assessment and Program Information and Signature Sheet

DHS-3873-ENG Supported Employment Service Providers - Moving Home Minnesota - Applicant Assurance Statement

DHS-4117-ENG Automatic recurring withdrawal for your support payments

DHS-4296-ENG General Consent/Authorization for Release of Information

DHS-5085-ENG Individualized Education Plan (IEP) and Individualized Family Service Plan (IFSP) Services Documentation Log

DHS-5085A-ENG Individualized Education Plan (IEP) and Individualized Family Service Plan (IFSP) Evaluation Documentation Log

DHS-6790L-ENG Rate Management Worksheet - Employment Services

DHS-6978-ENG Transfer of Permanent Legal and Physical Custody (TPLPC) Process Checklist for Children in County Foster Care

DHS-7692-ENG NETStudy 2.0 Background Check Completion


The following form(s) were made obsolete:

DHS-6960B-ENG Child Care Assistance Program Payments for Children of Center Employees - Center Documentation Form 


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