CASES, 0022.09 - WHEN TO SWITCH BUDGET CYCLES - CASH, 0022.09.03 - WHEN TO SWITCH BUDGET CYCLES - SNAP, 0022.12 - HOW TO CALC. In addition it is allowable to use SOLQ-I as verification of identity. 0000001677 00000 n endstream endobj 438 0 obj <>/Subtype/Form/Type/XObject>>stream See 0010.18.06 (Verifying Disability/Incapacity - SNAP). in SNAP deletes all policy about non-mandatory verifications and moves it to 0010.18.02.03 (Non-Mandatory Verifications SNAP) and adds a cross-reference to 0010.18.02.03 (Non-Mandatory Verifications SNAP). GEN 260 Sponsor Release of Information - This form is used to allow Economic Assistance to communicate with the client's sponsor. - Participants of Refugee Cash Assistance (RCA) when they are working with a Refugee Employment Services Provider. 1 1 7.96 6.88 re In the first, the county agency received a stop - work verification on 4/13. 0000006074 00000 n 0000006624 00000 n 2.8541 2.7388 Td 0000022117 00000 n ]J}5vZZc}s?W0\(+X 03. - Participating regularly in a drug addiction or alcohol treatment and rehabilitation program. ET Some exemptions from the work rules need to be verified. in general provisions updates the name and hyperlink for the Verification Request Form (DHS-2919). % 2.7962 2.7525 Td 5. Immigration status, ONLY if the applicant reports a non-citizen status, including non-citizens, naturalized and derived citizen status. Document this verbal statement in CASE/NOTEs. The participant's last day of employment was 01/13 and received the last check 1/13. endstream endobj 431 0 obj <>/Subtype/Form/Type/XObject>>stream Enter your official identification and contact details. /ExtGState << Do not run a Systematic Alien Verifications for Entitlements (SAVE) report unless you have determined that the applicant meets all other program requirements and the client would be eligible for benefits if the immigration status requirement is met. in general provisions deletes to verify self-employment expenses if applicable. f 5 0 obj You do not have to sign this form if either the requesting organization or the organization supplying the information is left blank. n For people in the Safe At Home Program, see 0029.29 (Safe At Home Program). - This form is used to request a Certificate of Clearance when the property was transferred using a Transfer on Death Deed. endstream endobj 415 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream Financial aid information from students attending post-secondary institutions. Verify only counted income. q GEN 280 Drug Felony Release form - This form is used to allow Economic Assistance to obtain information regarding drug test results. Verification of participation is required every 12 months or when there is a change in the clients participation, whichever comes first. Removed WB. /Tx BMC There are three variants; a typed, drawn or uploaded signature. In the first, the county agency received a stop - work verification on 4/13. Please enable scripts and reload this page. q Additional State forms can be found at: Minnesota Department of Human Services Website, Documents can be submitted to the Economic Assistance Document Upload Portal Here, Instructions for using the portal can be found Here. QD~bJmb}`!lsUJ3>11g.x z;eY#\. 0000006411 00000 n (4) Tj endstream endobj 439 0 obj <>/Subtype/Form/Type/XObject>>stream in SNAP in the 2nd paragraph clarifies to allow the listed verifications only if an applicant/participant wants a deduction from their income for them. MSA, GA, GRH: 2.7962 2.7525 Td 3 0 obj DHS 5576 Combined Six Month Report - This form is for people currently open on Cash, SNAP, or Healthcare that are required to complete a six month review. 0028.06.12 (Who Is Exempt From SNAP Work Registration). See 0010.18 (Mandatory Verifications) for mandatory verifications that apply to all programs. DHS 7823 Authorization to Obtain Information from AVS - This form allows the Account Validation Service to provide information about your assets for the MA program to Anoka County. GEN 205 Emergency Programs Release Form - This form is used to allow Economic Assistance to contact landlords and utility companies in order to complete our Emergency Assistance or Emergency General Assistance application. See 0011.24 (Time-limited SNAP Recipients) for more information on counted months used in another state. Information that is inconsistent or unclear may need to be verified. endstream endobj 426 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream Forms. Open it up using the cloud-based editor and begin altering. RESPONSIBILITIES, 0028.03.01 - COUNTY AND TRIBAL NATION SNAP E&T RESPONSIBILITIES, 0028.03.02 - ES PROVIDER RESPONSIBILITIES - SNAP E&T, 0028.03.03 - EMPLOYMENT SERVICES/SNAP E&T REQUIRED COMPONENTS, 0028.03.06 - DETERMINING SNAP PRINCIPAL WAGE EARNER, 0028.03.09 - REPORTING CHANGES TO JOB COUNSELOR, 0028.06.02 - UNIVERSAL PARTICIPATION PROVISIONS, 0028.06.03 - WHO MUST PARTICIPATE IN EMPL. Please see your child support/EA paperwork for service by mail directions regarding legal proceedings. DHS-4034-ENG Minnesota's Diversionary Work Program Applications/Reporting DHS-3550-ENG Minnesota Child Care Assistance Application DHS-5223-ENG MDHS Combined Application Form DHS-2120-ENG Household Report Form DHS-3336-ENG Self-Employment Report Form DHS-2402-ENG Change Report Form Consent/Release DHS-2114-ENG MDHS Request for Medical Opinion Minnesota Department of Labor & Industry Construction Codes and Licensing Division Licensing and Certification Services 443 Lafayette Road North St. Paul, MN 55155 Mailing Address: PO Box 64217 St. Paul, MN 55164-0217 Phone: 651.284.5031 Email: [email protected] Web site: www.dli.mn.gov . 0000021969 00000 n 0000019329 00000 n endstream endobj 440 0 obj <>/Subtype/Form/Type/XObject>>stream GEN 375 Voicemail Release - This form is used to allow Economic Assistance to leave a detailed message on a voicemail system for a specific phone number. Verify the exemptions listed below at application time and/or when a change occurs. 0000025069 00000 n /Tx BMC Property Tax Programs, Homesteads & Credits, Taxing Districts & Tax Increment Financing, Minnesota Department of Human Services website. If there is student income, also give the Financial Aid Information Form (DHS-2646) (PDF). endstream endobj 427 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream /Size 38 DHS 2952 Authorization for Release of Information About Residence and Shelter Expenses - This form is used to allow a landlord or homeowner information about your shelter expense. Identity may be verified through a document, or if a document is not available a collateral contact can be used. You must verify that the client is cooperating with the work requirements of this program. /Linearized 1 << Go to the Department of Human Services' (DHS) e-Docs site and search for the form by entering the DHS form number. This form reports the verified hours and is adapted for use by unlicensed individuals registered to perform electrical work. Authorization for release of information about residence and shelter expenses, DHS 2952. eDocs; Change report form, DHS 4794. eDocs Use the Verification Request Form (DHS-2919) (PDF) to request needed verification. Create your signature and click Ok. Press Done. /E 0000027097 q For all applicants give and verbally review during the interview: Give the forms below to all applicants. See 0011.24 (Time-limited SNAP Recipients). Unless questionable, a verbal statement from the client meets the verification requirement. H n Hennepin County H EMC /Tx BMC Human services e-forms. 0000024944 00000 n For more information on work rules and exemptions, see 0011.24 (Time-limited Recipients), 0028.06.12 (Who Is Exempt From SNAP Work Registration), 0028.07 (General Work Rules for SNAP). 0 0 9.96 8.88 re If the injury/disability is temporary, new verification will be needed if the injury/disability extends past the anticipated end date. For budgeting information see 0022.03.01.03 (Prospective Budgeting - SNAP Provisions). Change the template with exclusive fillable fields. - This form is used to request a Certificate of Clearnace when the property was transferred by a Decree of Descent. ^ey$>PzVjP~64$b*a`?H"4{p1 j X endstream endobj 433 0 obj <>/Subtype/Form/Type/XObject>>stream n The participant's last day of employment was 01/13 and received the last check 1/13. If you are not able to find the form you are looking for, search for additional forms below: Searchable document library (eDocs) / Minnesota Department of Human Services (mn.gov). Select the link to download, print or save to your computer. /ZaDb 5.1626 Tf Q Set yourself up for success and utilize the online library to download samples and turn them into . Employment and Earnings Statement. >> @4z$]aAhBK503Ix7$&xv;le|Jn+TjeP-4TS Z DHS 2120-ENG Household Report Form for MFIP/DWPReporting form used by clients to report income, asset and circumstance changes usually on a scheduled basis. EMC endstream endobj 410 0 obj <>/Metadata 16 0 R/Pages 407 0 R/StructTreeRoot 47 0 R/Type/Catalog/ViewerPreferences<>>> endobj 411 0 obj <>/MediaBox[0 0 612 792]/Parent 407 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 412 0 obj <>/Subtype/Form/Type/XObject>>stream It also adds a new last paragraph with verification requirements. f See all sections of 0016 (Income from People Not in the Unit), 0017 (Determining Gross Income) for more information. 0000007137 00000 n FAX: 612-321-3488. /F7 23 0 R Follow general provisions. OF MINOR CRGVR, 0016.18.01 - 200 PERCENT OF FEDERAL POVERTY GUIDELINES, 0016.21 - INCOME OF SPONSORS OF IMMIGRANTS WITH I-134, 0016.21.03 - INCOME OF SPONSORS OF LPRS WITH I-864, 0016.27 - INCOME FROM SPOUSES WHO CHOOSE NOT TO APPLY, 0016.33 - INCOME OF INELIGIBLE NON-CITIZENS, 0016.39 - INCOME OF TIME-LIMITED RECIPIENTS, 0017.03 - AVAILABLE OR UNAVAILABLE INCOME, 0017.09 - CONVERTING INCOME TO MONTHLY AMOUNTS, 0017.12 - DETERMINING IF INCOME IS EARNED OR UNEARNED, 0017.15.03 - CHILD AND SPOUSAL SUPPORT INCOME, 0017.15.12 - INFREQUENT, IRREGULAR INCOME, 0017.15.15 - INCOME OF MINOR CHILD/CAREGIVER UNDER 20, 0017.15.18 - EMPLOYMENT, TRAINING, AND NATIONAL SERVICE INCOME, 0017.15.33.03 - SELF-EMPLOYMENT, CONVERT INC. TO MONTHLY AMT, 0017.15.33.24 - SELF-EMPLOYMENT INCOME FROM FARMING, 0017.15.33.27 - SELF-EMPLOYMENT INCOME FROM ROOMER/BOARDER, 0017.15.33.30 - SELF-EMPLOYMENT INCOME FROM RENTAL PROPERTY, 0017.15.36 - STUDENT FINANCIAL AID INCOME, 0017.15.36.03 - WHEN TO BUDGET STUDENT FINANCIAL AID, 0017.15.36.06 - IDENTIFYING TITLE IV OR FEDERAL STUDENT AID, 0017.15.36.09 - STUDENT FINANCIAL AID DEDUCTIONS, 0017.15.42 - INTEREST AND DIVIDEND INCOME, 0017.15.45.03 - HOW TO DETERMINE GROSS RSDI, 0017.15.48 - DISPLACED HOMEMAKER PROGRAM INCOME, 0017.15.51 - PAYMENTS RESULTING FROM DISASTER DECLARATION, 0017.15.54 - CAPITAL GAINS AND LOSSES AS INCOME, 0017.15.57 - PAYMENTS TO PERSECUTION VICTIMS, 0017.15.63 - RELATIVE CUSTODY ASSISTANCE GRANTS, 0017.15.78 - NATIONAL AND COMMUNITY SERVICE PROGRAMS, 0017.15.84 - CONTRACTS FOR DEED AS INCOME, 0018.06.06 - PLAN TO ACHIEVE SELF-SUPPORT (PASS), 0018.12.03 - ALLOWABLE SNAP MEDICAL EXPENSES, 0018.15.03 - SHELTER DEDUCTION - HOME TEMPORARILY VACATED, 0018.33 - CHILD AND SPOUSAL SUPPORT DEDUCTIONS, 0018.39 - PRIOR AND OTHER INCOME REDUCTIONS, 0018.42 - INCOME UNAVAILABLE IN FIRST MONTH, 0019.03 - GROSS INCOME TEST - WHAT INCOME TO USE, 0019.09 - GIT FOR SEPARATE ELDERLY DISABLED UNITS, 0020.03 - PEOPLE EXEMPT FROM NET INCOME LIMITS, 0020.06 - CHOOSING THE ASSISTANCE STANDARD TABLE, 0022 - BUDGETING AND BENEFIT DETERMINATION, 0022.03 - HOW AND WHEN TO USE PROSPECTIVE BUDGETING, 0022.03.01 - PROSPECTIVE BUDGETING - PROGRAM PROVISIONS, 0022.03.01.03 - PROSPECTIVE BUDGETING - SNAP PROVISIONS, 0022.03.03 - INELIGIBILITY IN A PROSPECTIVE MONTH - CASH, 0022.03.04 - INELIGIBILITY IN A PROSPECTIVE MONTH - SNAP, 0022.06 - HOW AND WHEN TO USE RETROSPECTIVE BUDGETING, 0022.06.03 - WHEN NOT TO BUDGET INCOME IN RETRO. W 3. West St. Paul, MN 55118-4765. SERVICES/SNAP E&T, 0028.06.12 - WHO IS EXEMPT FROM SNAP WORK REGISTRATION, 0028.09 - ES OVERVIEW/SNAP E&T ORIENTATION, 0028.09.06 - EXEMPTIONS FROM ES OVERVIEW/SNAP E&T ORIENTATION, 0028.18 - GOOD CAUSE FOR NON-COMPLIANCE--MFIP/DWP, 0028.18.01 - MFIP GOOD CAUSE--CAREGIVERS UNDER 20, 0028.21 - GOOD CAUSE NON-COMPLIANCE - SNAP/MSA/GA/GRH, 0028.30 - SANCTIONS FOR FAILURE TO COMPLY - CASH, 0028.30.03 - PRE 60-MONTH TYPE/LENGTH OF ES SANCTIONS, 0028.30.04 - POST 60-MONTH EMPL. Disability status may be need to be verified. 0026.06 - NOTICE - APPROVAL OF APPLICATION OR RECERT. endstream endobj 420 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream DHS 5223C-ENG Combined Application Addendum (Supplemental Nutrition Assistance Program, Cash Assistance, and Health Care Programs)This is an addendum to the Combined Application Form and is used for adding people to existing MFIP and GA assistance units after the initial application has been processed. 0.749023 g Q See 0017.15.15 (Income of Minor Child/Caregiver Under 20). 0000020915 00000 n You must verify that the client is complying with Refugee Employment Services. DHS 5776-ENG Combined Six-Month Report Form for Medical Assistance and SNAPThis form is for clients who have a six-month renewal for health care eligibility or a six-month report for the Supplemental Nutrition Assistance Program (SNAP) due. endobj ! We would like to show you a description here but the site won't allow us. @ @3Nd&` ` xP /T 0000025941 endstream endobj startxref n 02. Put the particular date and place your e-signature. Also see Chapter 8 (Changes in Circumstances) for verifications which may be required when a unit has a change in circumstances. H The locations accepting paperwork including vehicle tab renewals, property tax documents, child support and economic assistance applications, and reporting forms are: Paperwork that CANNOT be accepted at drop boxes are documents related to legal service, litigation, or court matters. Applying for MNsure Helpful Information - This document gives you step by step instructions for completing an online MNsure application. Dakota County Google Translate Disclaimer. 0 0 Td 4 0 obj >> EDAK 0220Giving Permission for Someone to Act on My Behalf (Authorized Representative)Authorization form giving permission for someone to act on behalf of the client.EDAK 0031AInformed ConsentAuthorization form allowing release of information required for the determination of eligibility for assistance. /ZaDb 5.1626 Tf Household Report Form Case number: How to fill out this form: 1. When used, this form also meets any monthly report requirement clients may have for cash, SNAP or health care programs. If the form you need is not on this list, you can visit the Minnesota Department of Human Services website where you can search eDocs to find the form you need. Case Name: Case Number: 15. Employment & Economic Assistance651-554-5611. See 0007.03 (Monthly Reporting - Cash), 0007.03.02 (Six-Month Reporting), 0007.15 (Unscheduled Reporting of Changes - Cash), 0007.15.03 (Unscheduled Reporting of Changes - SNAP), 0009 (Recertification). These forms do not need to be verbally reviewed during the interview. Anoka County is now accepting a variety of paperwork at two county locations and only vehicle tab renewals at two others. Note: Do not request further verification of income if the unit reports no change in income on their Combined Six-Month Review (DHS-5576) (PDF). In MFIP, DWP deletes all previous provisions and adds new provisions. If the exemptions are not listed below, they do not need to be verified unless questionable. Verify the following for all programs: Inconsistent information. 0 0 9.96 9 re /N 1 DHS 2402-ENG Change Report FormReporting form used by clients to report income, asset, and circumstance changes usually on a non-scheduled basis. 0000000025 00000 n Questions about legal documents can be directed to the County Attorneys Office: 763-324-5550. Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. >> endobj /Pages 1 0 R CASES, 0022.09 - WHEN TO SWITCH BUDGET CYCLES - CASH, 0022.09.03 - WHEN TO SWITCH BUDGET CYCLES - SNAP, 0022.12 - HOW TO CALC. SERV. Answer Yes or No to each question. Q . endstream endobj 419 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 436 0 obj <>/Subtype/Form/Type/XObject>>stream 0000020677 00000 n Document this verbal statement in CASE/NOTEs. For more information about running SAVE, see 0010.18.11.03 (Systematic Alien Verification (SAVE)). Require the client to complete only those items needed to determine eligibility or benefit for the program(s) the client is requesting or receiving. /ZaDb 7.6247 Tf in SNAP adds that identity may be verified through a document, collateral contact or SOLQ-I. Below is a list of frequently requested Human services forms. 2 0 obj This can be verified with the income verifications that are provided by the client. Accessibility|Privacy|Open Government| Copyright document.write(new Date().getFullYear()); Application for payment of long-term care services, Authorization to obtain or release information/records, Child care assistance program (CCAP) Change Report, Combined annual renewal for certain populations, Minnesota health care programs (MHCP) Application for certain populations, Minnesota health care programs (MHCP) Renewal for people receiving long-term care services, MNsure Application for health coverage and help paying costs. Q BENEFIT LEVEL - MFIP/DWP/GA, 0022.12.01 - HOW TO CALCULATE BENEFIT LEVEL - SNAP/MSA/GRH, 0022.12.02 - BEGINNING DATE OF ELIGIBILITY, 0022.15.03 - BUDGETING LUMP SUMS IN A PROSPECTIVE MONTH, 0022.15.06 - BUDGETING LUMP SUMS IN A RETROSPECTIVE MONTH, 0022.18.03 - OVERPAYMENTS RELATING TO SUSPENDED CASES, 0022.21 - INCOME OVERPAYMENT RELATING TO BUDGET CYCLE, 0022.24 - UNCLE HARRY FOOD SUPPORT BENEFITS, 0023.09 - HOUSEHOLD FURNISHINGS AND APPLIANCES, 0024.03 - WHEN BENEFITS ARE PAID - MFIP/DWP, 0024.03.03 - WHEN BENEFITS ARE PAID - SNAP/MSA/GA/GRH, 0024.04.03.03 - BENEFIT DELIVERY METHODS--PROGRAM PROVISIONS, 0024.04.04 - CHANGES IN AUTOMATIC BENEFIT DELIVERY METHOD, 0024.06 - PROVISIONS FOR REPLACING BENEFITS, 0024.06.03 - SITUATIONS REQUIRING SNAP BENEFIT REPLACEMENT, 0024.06.03.03 - REPLACING SNAP STOLEN/LOST BEFORE RECEIPT, 0024.06.03.15 - REPLACING FOOD DESTROYED IN A DISASTER, 0024.06.03.18 - REPLACING DAMAGED SNAP CASH-OUT WARRANTS, 0024.09.01 - PROTECTIVE AND VENDOR PAYMENTS-SNAP/MSA/GA/GRH, 0024.09.09 - DISCONTINUING PROTECTIVE AND VENDOR PAYMENTS, 0024.09.12 - PAYMENTS AFTER CHEMICAL USE ASSESSMENT, 0024.12 - ISSUING AND REPLACING IDENTIFICATION CARDS, 0025.03 - DETERMINING INCORRECT PAYMENT AMOUNTS, 0025.06 - MAINTAINING RECORDS OF INCORRECT PAYMENTS, 0025.09.03 - WHERE TO SEND CORRECTIVE PAYMENTS, 0025.12.03 - OVERPAYMENTS EXEMPT FROM RECOVERY, 0025.12.03.03 - SUSPENDING OR TERMINATING RECOVERY, 0025.12.03.09 - CLAIM COMPROMISE & TERMINATION, 0025.12.06 - REPAYING OVERPAYMENTS - PARTICIPANTS, 0025.12.09 - REPAYING OVERPAYMENTS - NON-PARTICIPANTS, 0025.12.12 - ACTION ON OVERPAYMENTS - TIME LIMITS, 0025.15 - ORDER OF RECOVERY - PARTICIPANTS, 0025.18 - ORDER OF RECOVERY - NON-PARTICIPANTS, 0025.21.03 - OVERPAYMENT REPAYMENT AGREEMENT, 0025.24 - FRAUDULENTLY OBTAINING PUBLIC ASSISTANCE, 0025.24.03 - RECOVERING FRAUDULENTLY OBTAINED ASSISTANCE, 0025.24.06.03 - ADMINISTRATIVE DISQUALIFICATION HEARING, 0025.24.07 - DISQUALIFICATION FOR ILLEGAL USE OF SNAP, 0025.24.08 - SNAP ELECTRONIC DISQUALIFIED RECIPIENT SYSTEM, 0025.30 - FINANCIAL RESPONSIBILITY, PEOPLE NOT IN HOME, 0025.30.03 - CONTRIBUTIONS FROM PARENTS NOT IN HOME. BT PARENT/GUARD. BT 0 0 9.96 9 re See 0011.18 (Students). See 0010.15 (Verification Inconsistent Information). > H If the injury/disability is temporary, new verification will be needed if the injury/disability extends past the anticipated end date. Show details How it works Open the mn employment verification and follow the instructions Easily sign the minnesota employment verification form with your finger A verbal client statement indicating residency in Minnesota meets the verification requirement. /MarkInfo << 7V,%2EPEr_:b9~*x8|s.R&"WN,I# /|!(C4YhB##v4 4kec$%:E>E7 ,)`) %bi,rKh,a% yi z.3~@m&wWs3)/Rn%p << 12/2005 Termination of Employment Verification TO: RE: . "H`DH.~ "9H0:@X,r,bb{5 I& |##(9$L @/b >> 0002.05 - GLOSSARY: ASSISTANCE STANDARD 0002.17 - GLOSSARY: DISPLACED HOMEMAKER 0002.41 - GLOSSARY: MEDICALLY NECESSARY 0003 - CLIENT RESPONSIBILITIES AND RIGHTS, 0003.03 - CLIENT RESPONSIBILITIES - GENERAL, 0003.06 - CLIENT RESPONSIBILITIES - QUALITY CONTROL, 0003.09.03 - CLIENT RIGHTS - CIVIL RIGHTS, 0003.09.06 - CLIENT RIGHTS - DATA PRIVACY PRACTICES, 0003.09.09 - CLIENT RIGHTS, PRIVATE AND CONFIDENTIAL DATA, 0003.09.12 - CLIENT RIGHTS - LIMITED ENGLISH PROFICIENCY, 0004.01 - EMERGENCIES - PROGRAM PROVISIONS, 0004.03 - EMERGENCY AID ELIGIBILITY - CASH ASSISTANCE, 0004.04 - EMERGENCY AID ELIGIBILITY--SNAP/EXPEDITED FOOD, 0004.06 - EMERGENCIES - 1ST MONTH PROCESSING, 0004.09 - EMERGENCIES - 2ND AND 3RD MONTH PROCESSING, 0004.12 - VERIFICATION REQUIREMENTS FOR EMERGENCY AID, 0004.15 - EMERGENCIES - POSTPONED VERIFICATION NOTICE, 0004.18 - DETERMINING THE AMOUNT OF EMERGENCY AID, 0004.48 - DESTITUTE UNITS--MIGRANT/SEASONAL FARMWORKER, 0004.51 - DESTITUTE UNITS, ELIGIBILITY AND BENEFITS, 0005.06.03 - WHO CAN/CANNOT BE AUTHORIZED REPRESENTATIVES, 0005.06.06 - DISQUALIFYING AUTHORIZED REPRESENTATIVES, 0005.09 - COMBINED APPLICATION FORM (CAF), 0005.09.03 - WHEN PEOPLE MUST COMPLETE AN APPLICATION, 0005.09.06 - WHEN NOT TO REQUIRE COMPLETION OF AN APPLICATION, 0005.09.09 - WHEN TO USE AN ADDENDUM TO AN APPLICATION, 0005.09.15 - EMERGENCY ASSISTANCE AND APPLICATIONS, 0005.10 - MINNESOTA TRANSITION APPLICATION FORM (MTAF), 0005.12 - ACCEPTING AND PROCESSING APPLICATIONS, 0005.12.03 - WHAT IS A COMPLETE APPLICATION, 0005.12.12.01 - FORMS/HANDOUTS FOR APPLICANTS, 0005.12.12.06 - ORIENTATION TO FINANCIAL SERVICES, 0005.12.12.09 - FAMILY VIOLENCE PROVISIONS/REFERRALS, 0005.12.15 - APPLICATION PROCESSING STANDARDS, 0005.12.15.01 - PROCESSING SNAP APPLICATION NON-MANDATORY VERIFICATION, 0005.12.15.03 - DELAYS IN PROCESSING APPLICATIONS, 0005.12.15.06 - DETERMINING WHO CAUSED THE DELAY, 0005.12.15.09 - DELAYS CAUSED BY THE APPLICANT HOUSEHOLD, 0005.12.15.12 - DELAYS CAUSED BY THE AGENCY, 0005.12.15.15 - DELAYS CAUSED BY THE AGENCY AND APPLICANT, 0005.12.21 - REINSTATING A WITHDRAWN APPLICATION, 06 - DETERMINING FINANCIAL RESPONSIBILITY, 0006 - DETERMINING FINANCIAL RESPONSIBILITY, 0006.06 - MOVING BETWEEN COUNTIES - PARTICIPANTS, 0006.09 - MOVING BETWEEN COUNTIES - MINOR CHILDREN, 0006.12 - ASSISTANCE TERMINATED WITHIN LAST 30 DAYS, 0006.15 - MULTIPLE COUNTY FINANCIAL RESPONSIBILITY, 0006.18 - EXCLUDED TIME FACILITIES AND SERVICES, 0006.21 - TRANSFERRING RESPONSIBILITY - OLD COUNTY, 0006.24 - TRANSFERRING RESPONSIBILITY - NEW COUNTY, 0006.27 - COUNTY FINANCIAL RESPONSIBILITY DISPUTES, 0006.30 - STATE FINANCIAL RESPONSIBILITY DISPUTES, 0007.03.01 - MONTHLY REPORTING - UNCLE HARRY FS, 0007.03.04 - SIX-MONTH REPORTING DEADLINES, 0007.03.07 - PROCESSING A LATE COMBINED SIX-MONTH REPORT, 0007.12 - AGENCY RESPONSIBILITIES FOR CLIENT REPORTING, 0007.15 - UNSCHEDULED REPORTING OF CHANGES - CASH, 0007.15.03 - UNSCHEDULED REPORTING OF CHANGES - SNAP, 0008.03 - CHANGES - OBTAINING INFORMATION, 0008.06 - IMPLEMENTING CHANGES - GENERAL PROVISIONS, 0008.06.01 - IMPLEMENTING CHANGES - PROGRAM PROVISIONS, 0008.06.03 - CHANGE IN BASIS OF ELIGIBILITY, 0008.06.06 - ADDING A PERSON TO THE UNIT - CASH, 0008.06.07 - ADDING A PERSON TO THE UNIT - SNAP, 0008.06.09 - REMOVING A PERSON FROM THE UNIT, 0008.06.12.09 - CONVERTING A PREGNANT WOMAN CASE, 0008.06.15 - REMOVING OR RECALCULATING INCOME, 0008.06.21 - CHANGE IN COUNTY OF RESIDENCE, 0008.06.24 - DWP CONVERSION OR REFERRAL TO MFIP, 0009.03 - LENGTH OF RECERTIFICATION PERIODS, 0009.03.03 - WHEN TO ADJUST THE LENGTH OF CERTIFICATION, 0009.06.03 - RECERTIFICATION PROCESSING STANDARDS, 0009.06.03.03 - PROCESSING SNAP RECERTIFICATION NON-MANDATORY VERIFICATION, 0010.03 - VERIFICATION - COOPERATION AND CONSENT, 0010.06 - SOURCES OF VERIFICATION - DOCUMENTS, 0010.09 - SOURCES OF VERIFICATION, COLLATERAL CONTACTS, 0010.12 - SOURCES OF VERIFICATION - HOME VISITS, 0010.15 - VERIFICATION - INCONSISTENT INFORMATION, 0010.18.01 - MANDATORY VERIFICATIONS - CASH ASSISTANCE, 0010.18.02.03 - NON-MANDATORY VERIFICATIONS - SNAP, 0010.18.03 - VERIFYING SOCIAL SECURITY NUMBERS, 0010.18.03.03 - VERIFYING SOCIAL SECURITY NUMBERS - NEWBORNS, 0010.18.05 - VERIFYING DISABILITY/INCAPACITY - CASH, 0010.18.06 - VERIFYING DISABILITY/INCAPACITY - SNAP, 0010.18.08 - VERIFYING STATE RESIDENCE - CASH, 0010.18.09 - VERIFYING SELF-EMPLOYMENT INCOME, 0010.18.11 - VERIFYING CITIZENSHIP AND IMMIGRATION STATUS, 0010.18.11.03 - SYSTEMATIC ALIEN VERIFICATION (SAVE), 0010.18.12 - VERIFYING LAWFUL TEMPORARY RESIDENCE, 0010.18.15 - VERIFYING LAWFUL PERMANENT RESIDENCE, 0010.18.15.03 - LAWFUL PERMANENT RESIDENT: USCIS CLASS CODES, 0010.18.15.06 - VERIFYING SOCIAL SECURITY CREDITS, 0010.18.18 - VERIFYING SPONSOR INFORMATION, 0010.18.21 - IDENTIFY NON-IMMIGRANT OR UNDOCUMENTED PEOPLE, 0010.18.21.03 - NON-IMMIGRANT PEOPLE: USCIS CLASS CODES, 0010.18.30 - VERIFYING STUDENT INCOME AND EXPENSES, 0010.24 - INCOME AND ELIGIBILITY VERIFICATION SYSTEM, 0010.24.03 - IEVS MATCH TYPE AND FREQUENCY, 0010.24.09 - PROCESSING IEVS MATCHES TIMELY, 0010.24.12 - DETERMINING IEVS EFFECT ON ELIGIBILITY, 0010.24.15 - RECORDING IEVS RESOLUTION FINDINGS, 0010.24.18 - CLIENT COOPERATION WITH IEVS, 0010.24.21 - IEVS SAFEGUARDING RESPONSIBILITIES, 0010.24.24 - IEVS NON-DISCLOSURE AND EMPLOYEE AWARENESS, 0011.03 - CITIZENSHIP AND IMMIGRATION STATUS, 0011.03.03 - NON-CITIZENS - MFIP/DWP CASH, 0011.03.06 - NON-CITIZENS - MFIP FOOD PORTION, 0011.03.09 - NON-CITIZENS - SNAP/MSA/GA/GRH, 0011.03.12 - NON-CITIZENS - LAWFUL PERMANENT RESIDENTS, 0011.03.12.03 - NON-CITIZENS - ADJUSTMENT OF STATUS, 0011.03.15 - NON-CITIZENS - LPR WITH SPONSORS, 0011.03.17 - NON-CITIZENS - PUBLIC CHARGE, 0011.03.18 - NON-CITIZENS - PEOPLE FLEEING PERSECUTION, 0011.03.21 - NON-CITIZENS - VICTIMS OF BATTERY/CRUELTY, 0011.03.24 - NON-CITIZENS - LAWFULLY RESIDING PEOPLE, 0011.03.27 - UNDOCUMENTED AND NON-IMMIGRANT PEOPLE, 0011.03.27.01 - NON-CITIZENS - CITIZENS OF PALAU, THE FEDERATED STATES OF MICRONESIA, AND THE REPUBLIC OF THE MARSHALL ISLANDS, 0011.03.27.03 - PROTOCOLS FOR REPORTING UNDOCUMENTED PEOPLE, 0011.03.30 - NON-CITIZENS - TRAFFICKING VICTIMS, 0011.03.33 - NON-CITIZENS - IMMIGRATION COURT ORDERS, 0011.06.03 - STATE RESIDENCE - EXCLUDED TIME, 0011.06.06 - STATE RESIDENCE - INTERSTATE PLACEMENTS, 0011.06.09 - STATE RESIDENCE - 30-DAY REQUIREMENT, 0011.12.01 - DRUG ADDICTION OR ALCOHOL TREATMENT FACILITY, 0011.12.03 - UNDER CONTROL OF THE PENAL SYSTEM, 0011.30.06 - 180 TO 60 DAYS BEFORE MFIP CLOSES, 0011.33.02 - MFIP HARDSHIP EXTENSIONS - REMOVING 1 PARENT, 0011.33.03 - MFIP EMPLOYED EXTENSION CATEGORY, 0011.33.03.03 - LIMITED WORK DUE TO ILLNESS/DISABILITY, 0011.33.06 - MFIP HARD TO EMPLOY EXTENSION CATEGORY, 0011.33.09 - MFIP ILL/INCAPACITATED EXTENSION CATEGORY, 0012.06 - REQUIREMENTS FOR CAREGIVERS UNDER 20, 0012.12.03 - INTERIM ASSISTANCE AGREEMENTS, 0012.12.06 - SPECIAL SERVICES - APPLYING FOR SOCIAL SECURITY, 0012.15 - INCAPACITY AND DISABILITY DETERMINATIONS, 0012.15.03 - MEDICAL IMPROVEMENT NOT EXPECTED (MINE) LIST, 0012.15.06 - STATE MEDICAL REVIEW TEAM (SMRT), 0012.15.06.03 - SMRT - SPECIFIC PROGRAM REQUIREMENTS, 0012.21 - RESPONSIBLE RELATIVES NOT IN THE HOME, 0012.21.03 - SUPPORT FROM NON-CUSTODIAL PARENTS, 0012.21.06 - CHILD SUPPORT GOOD CAUSE EXEMPTIONS, 0013.03.03 - PREGNANT WOMAN BASIS - MFIP/DWP, 0013.03.06 - MFIP BASIS - STATE-FUNDED CASH PORTION, 0013.06 - SNAP CATEGORICAL ELIGIBILITY/INELIGIBILITY, 0013.09.09 - MSA BASIS - DISABLED AGE 18 AND OLDER, 0013.15.03 - GA BASIS - PERMANENT ILLNESS, 0013.15.06 - GA BASIS - TEMPORARY ILLNESS, 0013.15.09 - GA BASIS - CARING FOR ANOTHER PERSON, 0013.15.12 - GA BASIS - PLACEMENT IN A FACILITY, 0013.15.27 - GA BASIS, SSD/SSI APPLICATION/APPEAL PENDING, 0013.15.33 - GA BASIS - DISPLACED HOMEMAKERS, 0013.15.39 - GA BASIS - PERFORMING COURT ORDERED SERVICES, 0013.15.42 - GA BASIS - LEARNING DISABLED, 0013.15.48 - GA BASIS - ENGLISH NOT PRIMARY LANGUAGE, 0013.15.51 - GA BASIS - PEOPLE UNDER AGE 18, 0013.15.54 - GA BASIS - DRUG/ALCOHOL ADDICTION, 0013.18.09 - GRH BASIS - DISABLED AGE 18 AND OLDER, 0013.18.12 - GRH BASIS - REQUIRES SERVICE IN RESIDENCE, 0013.18.15 - GRH BASIS - PERMANENT ILLNESS, 0013.18.18 - GRH BASIS - TEMPORARY ILLNESS, 0013.18.27 - GRH BASIS - SSD/SSI APPL/APPEAL PEND, 0013.18.33 - GRH BASIS - LEARNING DISABLED, 0013.18.36 - GRH BASIS - DRUG/ALCOHOL ADDICTION, 0013.18.39 - GRH BASIS - TRANSITION FROM RESIDENTIAL TREATMENT, 0014.03 - DETERMINING THE ASSISTANCE UNIT, 0014.03.03 - DETERMINING THE CASH ASSISTANCE UNIT, 0014.03.03.03 - OPTING OUT OF MFIP CASH PORTION, 0014.06 - WHO MUST BE EXCLUDED FROM ASSISTANCE UNIT, 0014.09 - ASSISTANCE UNITS - TEMPORARY ABSENCE, 0014.12 - UNITS FOR PEOPLE WITH MULTIPLE RESIDENCES, 0015.06.03 - AVAILABILITY OF ASSETS WITH MULTIPLE OWNERS, 0015.30 - ASSETS - PAYMENTS UNDER FEDERAL LAW, 0015.48.03 - WHOSE ASSETS TO CONSIDER - SPONSORS W/I-864, 0015.48.06 - WHOSE ASSETS TO CONSIDER - SPONSORS W/I-134, 0015.63 - EVALUATION OF PENSION AND RETIREMENT PLANS, 0015.69.03 - ASSET TRANSFERS FROM SPOUSE TO SPOUSE, 0015.69.09 - IMPROPER TRANSFER INELIGIBILITY, 0015.69.12 - IMPROPER TRANSFERS - ONSET OF INELIGIBILITY, 0016 - INCOME FROM PEOPLE NOT IN THE UNIT, 0016.03 - INCOME FROM DISQUALIFIED UNIT MEMBERS, 0016.06 - INCOME FROM INELIGIBLE SPOUSE OF UNIT MEMBER, 0016.09 - INCOME FROM INELIGIBLE STEPPARENTS, 0016.12 - INCOME FROM PARENTS OF ADULT GA CHILDREN, 0016.18 - INCOME OF INEL.
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December 1, 2022
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