Forms published to eDocs (March 2025)

Minnesota Department of Human Services logo

Forms published to eDocs

March 2025

eDocs logo

DHS-0178-ENG Report of Adoptive Placement

DHS-2002-ENG Agreement conferring authority to place for adoption

DHS-3159-ENG Minnesota Voluntary Recognition of Parentage (HMN | RUS | SOM | SPA | VIE)

DHS-3365-ENG Mandatory Vendor Form - Request for Information

DHS-3799 - Child foster care notice to relatives (HMN | KAR | SOM | SPA | VIE)

DHS-3876-ENG MHCP Application for Certain Populations

DHS-5223-ENG Combined Application Form

DHS-5576 - Combined Six-Month Report (HMN | RUS | SOM | SPA | VIE)

DHS-5788A-ENG CDCS Community Support Plan

DHS-5820E-ENG Lead Agency Provider Tool for DWRS Exceptions (Customized Living)

DHS-6810-ENG Positive Support Transition Plan

DHS-6893D-ENG CFSS: Recommendation for Removal from the Budget Model Form 

DHS-6893G - CFSS Program Information and Signature Sheet (HMN | KAR | RUS | SOM | SPA | VIE)

DHS-6893P-ENG CFSS Individual Service Delivery Plan

DHS-6893T - Worker Information form for CFSS budget model (KAR)

DHS-7695-ENG Psychiatric Residential Treatment Facility (PRTF) Extended Leave Request

DHS-7696-ENG Psychiatric Residential Treatment Facility (PRTF) Eligibility for Admission 

DHS-7843-ENG Special Needs Trust Reporting

DHS-7999-ENG Staffing Patterns for Licensed Child Care Centers

DHS-8010-ENG Child Welfare Opiate Allocation – Agency Annual Report

DHS-8241-ENG Minnesota Proof of Foster Care Placement

DHS-8493-ENG SNAP Employment and Training (E&T) Information and Screening and Referral Questions

DHS-8620-ENG Request for Special Diet Information

DHS-8639-ENG Terms and Conditions of MN ACT Tablet/Cell Phone Use 

DHS-8644-ENG Mental Health Services in Special Education (MH-SPED) Summary and Recommendations

DHS-8645-ENG Mental Health Services in Special Education (MH-SPED) Checklist

 

Form(s) made obsolete

DHS-2780 -  Client Placement Authorization CPA-CCDTF

DHS-3457 - Evaluative Report - Level II Pre-admission Screening for Persons with Mental Illness

DHS-4679 - Staffing Patterns

DHS-5139A - Audit Non-Cooperation/Reverse Non-Cooperation Form - Medical Assistance/MinnesotaCare Eligibility Audit

DHS-5705 - Minnesota foster care placement verification for post-secondary schools form

 


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