 DHS-0312-ENG Adoption Placement Agreement for a Child Under Guardianship of the Commissioner
DHS-2120-ENG Household Report Form
DHS-2402B-ENG Change Report Form for the Supplemental Nutrition Assistance Program (HMN | RUS | SOM | SPA | VIE)
DHS-3308A-ENG Minnesota Health Care Programs Memo Template
DHS-3535A-ENG MHCP Organization Provider Profile Change
DHS-4469A-ENG Individual Direct Support Worker Enrollment Application (Consumer Directed Community Supports [CDCS] and Consumer Support Grant [CSG])
DHS-5181-ENG LTC: Communication of Long-term Supports and Services Eligibility Form
DHS-5190-ENG Minnesota Child Care Assistance Programs Licensed Center Provider Registration and Acknowledgment
DHS-5191-ENG Minnesota Child Care Assistance Programs License Exempt Provider Registration and Acknowledgment
DHS-5192-ENG Minnesota Child Care Assistance Programs Legal Nonlicensed Provider Registration and Acknowledgment
DHS-5274-ENG Minnesota Child Care Assistance Program Redetermination Form
DHS-5339-ENG Education and Training Voucher Program (ETV) Application and Renewal
DHS-5820-ENG Disability Waiver Rates System Exception Request
DHS-6021-ENG Request to Close or Develop New Corporate Foster Care (and Community Residential Settings)
DHS-6165B-ENG Medical Assistance Clearance Certificate for a Decree of Descent
DHS-6475-ENG CCAP Parent Request for In-Home Child Care
DHS-7102-ENG Section 811 Project Based Rent Assistance Pre-Application
DHS-7195-ENG Licensed Family Child Care Provider Registration and Acknowledgment
DHS-7641L-ENG Sex Trafficking Information for Child Protection Workers
DHS-7820-ENG Substance Use Disorder (SUD) Provider Assurance Statement - Counties and Tribes
DHS-7954A-ENG Risk Reduction Plan for Licensed Child Care Centers
DHS-7995-ENG Individual Child Care Program Plan - For Licensed Child Care Centers
DHS-8205-ENG SNAP E&T Provider Determination Form
DHS-8225-ENG Rate Exception Request: Fee-for-Service Subcontracted Targeted Case Management
DHS-8368-ENG Necessity of Care Recommendation/Referral Checklist
DHS-8554-ENG Paid Participation: DHS Product Testing and Feedback Opportunities
DHS-8558-ENG Community First Services and Supports (CFSS) Agency Surety Bond
DHS-8564-ENG Privacy Incident, Security Incident, or Breach Reporting Form
Form(s) made obsolete:
None
If you have questions, contact the eDocs Helpdesk.
In order to view PDF forms on eDocs, download the latest FREE version of Adobe Reader.
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.
|
