DHS-3767D-ENG Determination of Cost Effectiveness 

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

DHS-5242-ENG Child Care Assistance Notice of Decision

DHS-6189X-ENG Customized Living Provider Assurance Statement

DHS-6638-ENG HCBS Programs Service Request Form

DHS-6810D-ENG Request for the Authorization of the Emergency Use of Procedures

DHS-6855-ENG Designation of Billing Person for Home and Community-Based Services Waiver or Alternative Care

DHS-7018-ENG Disclosure of Funding Form – Grant RFP

DHS-7021-ENG State of Minnesota Affidavit of Noncollusion – Grant RFP

DHS-7120C-ENG EIDBI Assurance Statement for Qualified Supervising Professionals (QSP)

DHS-7120D-ENG Early Intensive Developmental and Behavioral Intervention (EIDBI) Level I Provider Assurance Statement

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

DHS-8058-ENG Deaf and Hard of Hearing Services Division Consent to Telehealth Services

DHS-8058L-ENG Deaf and Hard of Hearing Services Division Consent to Telehealth Services (large print)

DHS-8063-ENG Opioid Prescribing Improvement Program (OPIP) Inquiry

DHS-8075-ENG Child Care Assistance Program (CCAP) Provider Appeal to State Agency

DHS-8086-ENG Mental Health Program Release of Information Consent

DHS-8111-ENG DHS Material Review Checklist