Skip To: Main content|Subnavigation|
Minnesota Department of Human Services Combined Manual
Advanced Search|  

WHAT IS A COMPLETE HRF/CSR

ISSUE DATE: 07/2016

Clients on scheduled monthly reporting must submit a complete Household Report Form (HRF) (DHS-2120) (PDF). See 0007.03 (Monthly Reporting - Cash), 0007.03.01 (Monthly Reporting - Uncle Harry FS), 0007.12.06 (Incomplete HRF/CSR).

Determine if an HRF is complete when a client submits it. Review the HRF for thoroughness of the answers and for mandatory verifications. See 0010.18 (Mandatory Verifications).


Consider an HRF complete when:

The HRF is signed and dated on the last day of the report period or later. The same signature requirements for applications apply to the HRF. See 0005.12.06 (Who Must Sign Applications).

AND

All questions are answered unless otherwise instructed on the form.

AND

You have sufficient information to determine eligibility.


Clients on scheduled Six-Month Reporting must submit a complete Combined Six-Month Report (CSR) (DHS-5576) (PDF), see 0007.03.02 (Six-Month Reporting).

Determine if a CSR is complete when a client submits it. Review the CSR for thoroughness of the answers and for mandatory verifications. See 0010.18 (Mandatory Verifications).


Consider a CSR complete when:

The CSR is signed and dated. NOTE: For MFIP, the Combined Six-Month Report (CSR) (DHS-5576) (PDF) and Combined Six-Month Report Supplement for Cash Programs (DHS-5576A) (PDF) is signed and dated on the last day of the report period or later. The same signature requirements for applications apply to the CSR. See 0005.12.06 (Who Must Sign Applications).

AND

All questions are answered unless otherwise instructed on the form.

AND

You have sufficient information to determine eligibility. See 0010.18 (Mandatory Verifications).


Counties may use the Earned Income/Pay Period/Date Tracking Form (DHS-5006F) (PDF) to help track a participant’s pay periods.

Counties may accept faxed HRFs, CSRs, and any supporting verifications. Original documents are not required.

Consider faxed HRFs and CSRs received on weekends, holidays, or after hours to be received on the 1st working day after receipt of the HRF or CSR. If the fax machine is located outside the human services agency, the county will need to address data privacy issues for applicants. The client is responsible for verifying the county received the fax.

Rate/Report this pageReport/Rate this page

© 2018 Minnesota Department of Human Services Updated: 6/30/16 8:08 PM | Accessibility | Terms/Policy | Contact DHS | Top of Page | Updated: 6/30/16 8:08 PM