DHS-2919-ENG Verification Request Form

DHS-3067-ENG DD Screening Document

DHS-3550-ENG Minnesota Child Care Assistance Program Application

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

DHS-3725-ENG EFT Vendor Number Notification

DHS-3767-ENG Request for Group Health Plan Information

DHS-3767A-ENG Request for Employee's Group Health Plan Information

DHS-3767B-ENG Request for Individual Health Plan Information

DHS-3767C-ENG Request for Policyholder's Insurance Information

DHS-3767E-ENG Your Health Insurance Is Cost Effective

DHS-3767F-ENG Your Health Insurance Is Not Cost Effective

DHS-3767G-ENG Application for a Good Cause Waiver

DHS-3767H-ENG Determination for a Good Cause Waiver

DHS-3956-ENG Elderly Waiver Conversion Rate Request

DHS-4049-ENG Provider Enrollment Application for Billing Intermediaries, Clearinghouses and EDI Trading Partners

DHS-4461-ENG Nursing Facility (NF) Communication Form

DHS-4461A-ENG Nursing Facility (NF) Liability Summary

DHS-5038-ENG Minnesota Health Care Programs Request to Reopen Medical Assistance (MA)

DHS-5223D-ENG Combined Application - Child Care Addendum

DHS-6887-ENG ASL Interpreter Website Consent Form

DHS-7093A-ENG Request to apply for behavioral health home (BHH) services certification

DHS-7602-ENG Critical Access Dental Payment Program Encounter Data Request

DHS-7823-ENG Authorization to Obtain Financial Information from the Asset Verification System (AVS)

DHS-7949-ENG Notice to agency of parent's intent to file a petition to re-establish parental rights

DHS-7952B-ENG Yearly In-Service Training Record

DHS-7953B-ENG Orientation Training Record

DHS-7954B-ENG Risk Reduction Plan - Certified Child Care Centers

DHS-7955-ENG Addendum: Emergency Preparedness Plan