 DHS-1834-ENG (PDF) Consent of parents or guardians of minor parent to the placement of the child
DHS-1958-ENG Application for child support services [ Online | Paper (PDF) ]
DHS-2807-ENG (PDF) Civil Rights Complaint Form: Discrimination in Service Delivery [ ARA (PDF) | HMN (PDF) | RUS (PDF) | SOM (PDF) | SPA (PDF) | VIE (PDF) ]
DHS-3504-ENG Brief Screening Tool for Special Learning Needs
DHS-3630-ENG (PDF) Notice of Child Support Good Cause Redetermination
DHS-3631-ENG (PDF) Request to End Child Support Good Cause Exemption
DHS-3632-ENG (PDF) Request for Additional Information to Prove Your Child Support Good Cause Exemption
DHS-3633-ENG (PDF) Notice of Approval of Redetermination of Your Child Support Good Cause Exemption
DHS-5207-ENG (PDF) County and Tribal Nation agency address and phone number list
DHS-5275-ENG (PDF) Health plan notification of foster care and child protection placement with authorization form
DHS-5665-ENG (PDF) Child Care Assistance Program - Direct Service Expenditure Adjustment
DHS-5682A-ENG Employee Injury/Illness Notification Form
DHS-5682B-ENG Supervisor Notification of Employee Injury/Illness
DHS-5682C-ENG Supervisor Accident/Injury Review
DHS-5784-ENG (PDF) MFIP/DWP Employment Services Weekly Job Search Activity Log
DHS-5841-ENG Lead Agency Communication Form: Recommendation for State Plan Home Care Services
DHS-6054-ENG Signed Personal Statement about Assets for Cash Programs
DHS-6126B-ENG State Medical Review Team Children's Continuing Disability Review
DHS-6189D-ENG (PDF) Assistive Technology Provider Assurance Statement
DHS-6189F-ENG (PDF) Chore Services Provider Assurance Statement
DHS-6189K-ENG (PDF) Homemaker Provider Assurance Statement
DHS-6189T-ENG (PDF) Specialized Equipment and Supplies Provider Assurance Statement
DHS-6189X-ENG (PDF) Customized Living Provider Assurance Statement
DHS-6383-ENG (PDF) Lead Agency Assurance Statement: HCBS Provider Review and Approval
DHS-6696B: Supplement to the Minnesota Health Care Programs Application for Certain Populations [ HMN (PDF) | RUS (PDF) | SOM (PDF) | SPA (PDF) | VIE (PDF) ]
DHS-6804-ENG (PDF) CCAP Override Monitoring Form
DHS-6979-ENG MnCHOICES Help Desk Contact Form
DHS-7954A-ENG Risk Reduction Plan for Licensed Child Care Centers
DHS-7955-ENG Child Care Emergency Plan
DHS-8068-ENG (PDF) Foster Care Sibling Bill of Rights
DHS-8116-ENG (PDF) Customized Living Service Provider – Exempt from Assisted Living Facility Licensure – Assurance Statement
DHS-8456: SNAP Work Rules Screening Questions [ HMN (PDF) | RUS (PDF) |
SOM (PDF) | SPA (PDF) | VIE (PDF) ]
DHS-8468A-ENG (PDF) Child Care Assistance Program – Application Checklist
DHS-8468B-ENG (PDF) Child Care Assistance Program – Redetermination checklist
DHS-8493-ENG (PDF) SNAP Employment and Training (E&T) Information and Screening and Referral Questions
DHS-8496-ENG (PDF) SNAP Employment and Training Eligibility and Enrollment Form
DHS-8641-ENG (PDF) General Assistance - Applying Changes in Assistance Standards
DHS-8671-ENG Child Care Assistance Program (CCAP) Provider Forms Submission
DHS-8808-ENG Letter to Treating Physician Requesting Documentation for ADA Eligibility
DHS-8809-ENG ADA Reasonable Accommodation Request Form
DHS-8810-ENG (PDF) ADA Authorization for Release of Medical Information Form
DHS-8846-ENG (PDF) Recuperative Care Habitability Inspection
DHS-4161 Diversionary Work Program Referral to Employment Services
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