Form DHS-5275-ENG Health Plan Notification of Foster Care / Child Protection Placement With Authorization Form - Minnesota

Form DHS-5275-ENG Health Plan Notification of Foster Care / Child Protection Placement With Authorization Form - Minnesota

What Is Form DHS-5275-ENG?

This is a legal form that was released by the Minnesota Department of Human Services - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DHS-5275-ENG form?A: The DHS-5275-ENG is a Health Plan Notification of Foster Care/Child Protection Placement With Authorization Form.

Q: What is the purpose of the form?A: The form is used to notify the health plan about a foster care or child protection placement.

Q: Who uses this form?A: This form is used by individuals or agencies involved in foster care or child protection placements in Minnesota.

Q: What information is included in the form?A: The form includes information about the child, the placement agency, caregivers, and the health plan details.

Q: Do I need this form for every placement?A: Yes, this form needs to be completed and submitted for every foster care or child protection placement.

Q: Is this form specific to Minnesota?A: Yes, this form is specific to foster care and child protection placements in Minnesota.

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Form Details:

  • Released on March 1, 2016;
  • 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;
  • Fill out the form in our online filing application.

Download a fillable version of Form DHS-5275-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.

Download Form DHS-5275-ENG Health Plan Notification of Foster Care / Child Protection Placement With Authorization Form - Minnesota

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