Forms published to eDocs (May 2019)

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Forms published to eDocs

May 2019

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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-2243-ENG MDHS Authorization for Release of Information About Assets

DHS-2243A-ENG MDHS General Authorization for Release of Information

DHS-3550-ENG Minnesota Child Care Assistance Program Application

DHS-3773-ENG CRF Checklist Screening Form

DHS-3773A-ENG CRF Education Screening Form

DHS-3773B-ENG CRF Vulnerability Assessment and Sexual Abusive Behavior Screen

DHS-3773C-ENG CRF Cultural Screening Form

DHS-3773D-ENG CRF gender specific screening form

DHS-4300-ENG Request for Worker's Compensation Information

DHS-4533-ENG Get Your Child Support Payments Faster, Safer, Easier

DHS-5052-ENG Individualized Education Program (IEP) Services Annual Data Report Form

DHS-5107-ENG Administration of the Child Care Assistance Program - 2020-2021 County and Tribal Child Care Fund Plan

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

DHS-5682C-ENG Supervisor Accident/Injury Review

DHS-6762D-ENG Minnesota Adult Protection SDM Initial Safety Assessment

DHS-6762E-ENG Minnesota Adult Protection SDM Intake Assessment and Response Priority

DHS-6762F-ENG Minnesota Adult Protection SDM Strengths AND Needs Assessment/Reassessment

DHS-6762G-ENG Minnesota Adult Protection Standardized EPS Assessment

DHS-6762H-ENG Minnesota Adult Protection Standardized Final Safety Assessment

DHS-7015-ENG Trade Secret/Confidential Data Notice – RFP

DHS-7016-ENG State of Minnesota Workforce Certificate Information

DHS-7017-ENG Certification Regarding Lobbying

DHS-7610-ENG Consent/authorization for Release of Information

DHS-7895-ENG Information Security Questions

 

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