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DHS-2146-ENG Authorization for Release of Employment Information
DHS-2338-ENG Cooperation with Child Support
DHS-2630-ENG Alternative Care Program Eligibility Worksheet Type B
DHS-2630A-ENG Alternative Care Program Eligibility Worksheet Type A
DHS-3954-ENG MHCP Retroactive Medical Assistance (MA) Notice
DHS-4026-ENG DWP/MFIP Screening Questions
DHS-4206D-ENG Quarterly Residential Problem Gambling Service Report
DHS-4719A-ENG Guidelines for Developing Policies and Procedures for Certified Centers
DHS-5032-ENG Moving Home Minnesota Intake Form
DHS-5590-ENG Medical Assistance for Long-Term Care (MA-LTC) Case Checklist
DHS-5924-ENG Housing Support Supplemental Services Provider Enrollment Application
DHS-7097-ENG Office of Inspector General Employer Insurance Verification Form
DHS-7310-ENG Application for MA Coverage for COVID-19 Testing
DHS-7750-ENG Application to Provide Social Security Advocacy Services
DHS-7967-ENG Housing Transition and Housing Sustaining Provider Assurance Statement
DHS-7968-ENG Housing Consultation Provider Assurance Statement
DHS-7979-ENG Authorization Request: D1110 Multiple Prophylaxis
DHS-7995A-ENG Child Allergy Information Form
DHS-8159-HMN Supplemental Nutrition Assistance Program (SNAP) Work Rules Notice - Hmong
DHS-8159-RUS Supplemental Nutrition Assistance Program (SNAP) Work Rules Notice - Russian
DHS-8159-SOM Supplemental Nutrition Assistance Program (SNAP) Work Rules Notice - Somali
DHS-8159-SPA Supplemental Nutrition Assistance Program (SNAP) Work Rules Notice - Spanish
DHS-8159-VIE Supplemental Nutrition Assistance Program (SNAP) Work Rules Notice - Vietnamese
DHS-8225-ENG Rate Exception Request: Subcontracted Targeted Case Management
DHS-8227-ENG Checklist for Children's Records Licensed Child Care Centers
DHS-8228-ENG Checklist for Personnel Records Licensed Child Care Centers
DHS-8229-ENG Checklist for Administrative Records Licensed Child Care Centers
The following form(s) were made obsolete:
DHS-6806A-ENG - Telephonic Telemedicine Provider Assurance Statement
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