Forms published to eDocs (May 2022)

Minnesota Department of Human Services logo

Forms published to eDocs

May 2022

eDocs

 

DHS-2646-ENG Financial Aid Information

DHS-4022-ENG Personal Care Provider Organization or Personal Care Assistant Choice Provider Enrollment Application

DHS-4044-ENG Daily Car Rental Form

DHS-4145-ENG County Notice of IMD Status

DHS-4602-ENG CCAP Medical Condition Documentation Form

DHS-4677A-ENG ICF/DD Variable Rate Recommendation

DHS-4681-ENG Summary of Personnel Information for Licensed Child Care Center

DHS-5192-HMN Minnesota Child Care Assistance Programs Legal Nonlicensed Provider Registration and Acknowledgment - Hmong

DHS-5192-SOM Minnesota Child Care Assistance Programs Legal Nonlicensed Provider Registration and Acknowledgment - Somali

DHS-5192-SPA Minnesota Child Care Assistance Programs Legal Nonlicensed Provider Registration and Acknowledgment - Spanish

DHS-5588-ENG Child Care Assistance Notice of Decision - Denial

DHS-5887-ENG Additional Square Footage Checklist

DHS-6633A-ENG CDCS Community Support Plan Addendum

DHS-6751U-ENG EIDBI service decision tool

DHS-6759H-ENG Moving Home Minnesota Communication Form

DHS-7102-ENG Section 811 Project Based Rent Assistance Pre-Application

DHS-8107-HMN Household Update Form - Hmong

DHS-8107-RUS Household Update Form - Russian

DHS-8107-SOM Household Update Form - Somali 

DHS-8107-SPA Household Update Form - Spanish

DHS-8107-VIE Household Update Form - Vietnamese

DHS-8242-ENG Minnesota Child Care Assistance Program - Calculation of self-employment income 

DHS-8264-ENG Opioid Prescribing Improvement Program: Measure 2 self-assessment (nonsurgical specialties)

DHS-8264A-ENG Opioid Prescribing Improvement Program: Measure 2 self-assessment (surgical specialties)

DHS-8264B-ENG Opioid Prescribing Improvement Program: Measure 3 self-assessment

DHS-8264C-ENG Opioid Prescribing Improvement Program: Measure 5 self-assessment

DHS-8264D-ENG Opioid Prescribing Improvement Program: Measure 6 self-assessment 

DHS-8265-ENG 2022 Opioid Prescribing Improvement Program: Quality improvement plan

 

The following form(s) were made obsolete:

None


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