DHS-0029E-ENG Medical Assistance With a Spenddown for Families With Children

DHS-3165A-ENG Supplemental Nutrition Assistance Program Employment and Training (SNAP E&T) Status Update Form

DHS-3610-ENG Children's Therapeutic Services and Supports (CTSS) Primary Certification Application

DHS-3610A-ENG Children's Therapeutic Services and Supports (CTSS) Provider Assurance Statements

DHS-3807A-ENG EIDBI Treatment Modality Submission Form

DHS-4106C-ENG Health plan enrollment form for people 65 years old or older

DHS-4695-ENG MHCP Authorization Form

DHS-4759-ENG Special Needs or Pooled Trust Referral

DHS-5036-ENG Annuity Designation for MA-LTC Applicants

DHS-5037-ENG Notice of Obligation to Issuer of an Annuity

DHS-5682B-ENG Supervisor Injury/Illness Investigation Form

DHS-5682C-ENG Supervisor Accident/Injury Review

DHS-6020-ENG SNAP Employment and Training Plan

DHS-6124-ENG SMRT Authorization to Release Protected Health Information

DHS-6633B-ENG CDCS Enhanced Budget Request and Community Support Plan Addendum

DHS-6759H-ENG Moving Home Minnesota Communication Form

DHS-6810F-ENG Functional Behavior Assessment Quality Checklist

DHS-7020-ENG Responder Information/Declarations Form – Grant RFP

DHS-7109-ENG Individual Treatment Plan (ITP) and Progress Monitoring

DHS-7683-ENG Accreditation Fee Reimbursement Request

DHS-7840-ENG Notice of Intent to bill for Individual Education Plan (IEP) Mental Health Evaluations