Form DHS-5223-SOM Combined Application Form - Minnesota (Somali)

Form DHS-5223-SOM Combined Application Form - Minnesota (Somali)

This is a legal form that was released by the Minnesota Department of Human Services - a government authority operating within Minnesota.

The document is provided in Somali. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form DHS-5223-SOM?
A: Form DHS-5223-SOM is the Combined Application Form used in Minnesota specifically for Somali-speaking individuals.

Q: What is the purpose of the Form DHS-5223-SOM?
A: The purpose of the Form DHS-5223-SOM is to apply for various social services and benefits in Minnesota.

Q: Who can use the Form DHS-5223-SOM?
A: The Form DHS-5223-SOM is specifically designed for Somali-speaking individuals residing in Minnesota.

Q: What services and benefits can be applied for using the Form DHS-5223-SOM?
A: The Form DHS-5223-SOM can be used to apply for services such as medical assistance, cash assistance, nutrition assistance, child care assistance, and emergency assistance.

Q: Are there any fees associated with submitting the Form DHS-5223-SOM?
A: No, there are no fees associated with submitting the Form DHS-5223-SOM.

Q: Are there any income or eligibility requirements to use the Form DHS-5223-SOM?
A: Yes, there are income and eligibility requirements that must be met in order to qualify for the services and benefits applied for using the Form DHS-5223-SOM.

Q: Can I get assistance in filling out the Form DHS-5223-SOM?
A: Yes, you can get assistance in filling out the Form DHS-5223-SOM. Somali-speaking staff and interpreters are available to help.

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Form Details:

  • Released on September 1, 2015;
  • The latest edition provided by the Minnesota Department of Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form DHS-5223-SOM by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.

Download Form DHS-5223-SOM Combined Application Form - Minnesota (Somali)

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