DHS-3354C-ENG Managed Care Pre-enrollment Questionnaire

DHS-3428C-ENG Determination of Age-Appropriate Dependencies for Children who use Long-Term Care

DHS-4074A-ENG Personal Care Assistance (PCA) Technical Change Request

DHS-4209N-ENG Minnesota Family Investment Program (MFIP) education activity log

DHS-4206C-ENG Quarterly Outpatient Problem Gambling Service Report

DHS-4206D-ENG Quarterly Residential Problem Gambling Service Report

DHS-4929-ENG Disability Services Division: Caregiver Living Expenses Worksheet

DHS-5207-ENG County agency address and phone number list

DHS-5504B-ENG Exception Request for Environmental Accessibility Adaptations that Exceed $40,000 (CAC, CADI, BI and DD Waivers)

DHS-5591-ENG Medical Assistance for People Who Are 65 Years Old or Older, Are Blind, or Have a Disability: Worker Checklist 

DHS-6020-ENG SNAP Employment and Training Plan

DHS-6801-ENG White Earth Nation Human Services Transfer Verification Form

DHS-6804-ENG CCAP Override Monitoring Form

DHS-7618-ENG Home and Community-Based Settings Applicant Assurance Statement

DHS-7774-ENG Serious Injury Reporting Form - Family Child Care

DHS-7953B-ENG Orientation Training Record - Licensed Child Care Centers

DHS-7994-ENG Personnel Information Form

DHS-7999-ENG Staffing Patterns

DHS-8026-ENG HCA Variance Request

DHS-8047-ENG Certification pre-application form