 DHS-0329-ENG Information for Attorney or Family to File Adoption Petition
DHS-2237A-ENG (PDF) Medical Service Questionnaire
DHS-2600-ENG Accreditation Review Process and Application
DHS-2630-ENG (PDF) Alternative Care Program Eligibility Worksheet
DHS-2630A-ENG (PDF) Alternative Care Program Eligibility Worksheet Type A
DHS-2780A-ENG (PDF) Behavioral Health Fund Request
DHS-2919-ENG Verification Request Form [ HMN | RUS | SOM | SPA | VIE ]
DHS-3437-ENG (PDF) Minnesota Health Care Programs - Giving Permission for Someone to Act on My Behalf
DHS-3525-ENG (PDF) Application and Renewal Form for Medical Assistance for People with Breast or Cervical Cancer (MA-BC)
DHS-3531-ENG (PDF) Application for Medical Assistance for Long-Term-Care Services (MA-LTC)
DHS-3751-ENG Individual Community Living Support (ICLS) - Planning Form
DHS-3807-ENG (PDF) EIDBI Agenda Topic, Question or Resource Request
DHS-3962-ENG (PDF) MHCP MinnesotaCare and Advanced Premium Tax Credit (APTC) Referral
DHS-4740-ENG (PDF) Minnesota Family Planning Program (MFPP) Application and Renewal Form
DHS-4827-ENG Mandated/Voluntary Reporter Notice - Unable to Conduct Investigation
DHS-5223 Combined Application Form [ HMN | RUS | SOM | SPA | VIE ]
DHS-5274-ENG Minnesota Child Care Assistance Program Redetermination Form
DHS-5576-ENG (PDF) Combined Six-Month Report
DHS-5779-ENG (PDF) MHCP Medical Coverage for Child Receiving Adoption Assistance letter
DHS-6217A-ENG Child Care Assistance Notice of Decision - Service Authorization for families
DHS-6381-ENG (PDF) Substance Use Disorder (SUD) Services and Level of Care Assurance Statement
DHS-6683-ENG (PDF) Essential Community Supports Program (ECS) Eligibility Worksheet
DHS-6683A-ENG (PDF) Essential Community Supports Program (ECS) Eligibility Worksheet Type A
DHS-6696-ENG (PDF) Application for Health Coverage and Help Paying Costs
DHS-6696B-ENG (PDF) Supplement to the Minnesota Health Care Programs Application for Certain Populations
DHS-6696G-ENG (PDF) Medical Assistance (MA) Inpatient Hospital Coverage for Incarcerated People
DHS-6696H-ENG (PDF) New Household Member or Applicant Request Form
DHS-6696I-ENG (PDF) Appendix D Work or Community Engagement
DHS-7069-ENG (PDF) Corrective Action Form - Temporary Assistance for Needy Families (TANF) Eligibility Audits
DHS-8262-ENG (PDF) Minnesota Health Care Programs Renewal for Families, Children and Adults
DHS-8431-ENG (PDF) Request for Information to Determine Eligibility for Certain Populations
DHS-8569-ENG (PDF) African American Child and Family Well-Being Unit RFP Community Reviewer Application
DHS-8804-ENG (PDF) Collateral Verification of Residence and Shelter Expenses for Refugee Cash Assistance (RCA)
DHS-8841-ENG Program Abuse Prevention Plan
DHS-2286 Tips Report Form
DHS-2600A Accreditation Review Process Application for Center-Based Early Care and Education Programs
DHS-2600B Accreditation Review Process Application for Out-Of-School Time Programs
DHS-3755C Variance request and approval - Child Foster Care
DHS-4026 DWP/MFIP Screening Questions
DHS-4209X MFIP/DWP Temporary Employment Plan
DHS-8110 Notice of Choice to End Housing Stabilization Services
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