Forms published to eDocs (November 2020)

Minnesota Department of Human Services logo

Forms published to eDocs

November 2020

eDocs

 

DHS-2708-ENG Community Minnesota Supplemental Aid Budget Worksheet

DHS-2919-ENG Verification Request Form

DHS-3909-ENG Proposal to Conduct Research on DHS Program Participants – Application for IRB Review

DHS-4015-ENG Waiver and Alternative Care (AC) Programs - Provider Enrollment Application

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

DHS-4207-ENG Gambling Service Agreement and Client Data Form

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

DHS-7952A-ENG Yearly In-Service Training Record - Licensed Child Care Centers

DHS-7983-ENG Voluntary out-of-home placement agreement for child co-located with parent in residential treatment for substance use disorder

DHS-7984-ENG Notice to parent/s or Indian custodian/s considering voluntary placement of their Indian child co-located with them in a residential substance use disorder treatment program

DHS-7985-ENG Voluntary out-of-home placement agreement for a child co-located with parent or Indian custodian in residential treatment for substance use disorder – Indian child

 

The following form(s) were made obsolete:

None


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.

 

If you have questions, contact the eDocs Helpdesk.

In order to view PDF forms on eDocs, download the latest FREE version of Adobe Reader.