Minnesota Department of Human Services Forms

This form is used for reporting the experience of a licensed child care center aide in Minnesota.

This document is for individuals in Minnesota who operate a family child care facility and wish to request an expedited reconsideration of a correction order issued by the state.

This form is used for creating a professional development plan for licensed child care centers in Minnesota.

This training is for individuals seeking to become substitute teachers or helpers in Minnesota. It provides the necessary knowledge and skills to work in educational settings as a temporary staff member.

This Form is used for parents or guardians in Minnesota to provide notice about liability insurance.

This document is for admission and arrangements in family child care in Minnesota.

This document provides guidelines for developing policies and procedures for licensed child care centers in Minnesota, specifically those operating under Rule 3 Programs. It helps ensure that child care centers comply with state regulations and provide a safe and nurturing environment for children.

This form is used for gathering allergy information of children in family child care centers in Minnesota.

This Form is used for providing emergency phone numbers in Minnesota.

This form is used for monthly inspections of cribs in family child care providers' homes in Minnesota to ensure safety.

This Form is used for enrolling a child in a family child care program in Minnesota.

This form is used for verifying completion of Suid & Aht off Year Video Training in Minnesota.

This form is used for obtaining authorization for travel and activities in Minnesota.

This form is used for granting permission for the administration of prescription and non-prescription medications in Minnesota.

This form is used for self-monitoring by licensed HCBS providers in Minnesota to assess compliance with personal funds and property regulations and legal representation restrictions.

This form is used for self-monitoring by licensed HCBS providers in Minnesota to assess their staffing and supervision practices. It helps ensure compliance with regulations and quality standards.

This form is used for self-monitoring checklist for licensed HCBS providers in Minnesota regarding records and privacy.

This form is used for licensed Home and Community-Based Services (HCBS) providers in Minnesota to self-monitor the physical environment in community residential settings. It is a checklist to ensure that the facilities meet the necessary standards and requirements.

This document is for requesting a secondary location in the state of Minnesota.

This form is used for self-monitoring and checklist purposes by licensed HCBS providers in Minnesota. It focuses on emergency and incident response, reporting, and review.

This form is used for conducting education screenings for children living in residential settings in Minnesota.

This form is used for licensed HCBS providers in Minnesota to self-monitor the physical environment of their day service facility. It helps ensure that the facility meets the necessary standards and requirements.

This document is for requesting a variance in the state of Minnesota. A variance allows for a deviation from the normal requirements or standards for a particular property or project.

This form is used for conducting cultural screenings of children in residential settings in Minnesota. It helps to ensure that the cultural needs of children are recognized and addressed appropriately.

This document outlines the policies and procedures that are required for children's residential facilities in the state of Minnesota. It provides guidelines and regulations that ensure the safety and well-being of children residing in these facilities.

This form is used for requesting resolution of a financial responsibility dispute with the Department in the state of Minnesota.

This document is used to obtain consent from the person applying to be a foster or adoptive parent in Minnesota to release their information from the Federal Bureau of Investigation and the National Crime Information Databases to a private child placing agency.

This form is used for obtaining consent or authorization to release information in the state of Minnesota.

This document is used for renewing Minnesota Health Care Programs in the Russian language.

This document is for conducting background checks on individuals involved in child foster care and adoptions in Minnesota.

This document is a sample notification letter that can be used by businesses in Minnesota to inform their clients about important updates or changes.

This Form is used for applying for various benefits in the state of Minnesota. It combines multiple application forms into one to streamline the application process.

This Form is used for applying to the Minnesota Child Care Assistance Program. It is specifically for residents of Minnesota who need help with child care expenses.

This form is used for Minnesota residents applying for child care assistance and includes additional information that needs to be provided.

This form is used for applying for child care assistance in the state of Minnesota. It helps eligible families with the cost of child care so they can work or attend school.

This form is used for notifying trade secrets or confidential data in a Request for Proposal (RFP) in the state of Minnesota.

This document is for broker enrollment in Minnesota. It includes a request for proposals and the application process.

This Form is used for staffing patterns in Minnesota for the Department of Homeland Security.