Application forms

This page features a list of links to common application forms or application information for human services programs. Program application forms can be found on eDocs, DHS’ Web-based document repository. Many application forms are published in other languages and can be found through eDocs.

Use ApplyMN to apply online for health care, cash assistance, food support, emergency help and child care assistance programs.

  • • Child Care Assistance Program Application (PDF)
  • • Child support application information
  • • Combined Application Form (PDF) – cash assistance, food support and health care programs
  • • Diversionary Work Program application information
  • • Food Support application information
  • • HIV/AIDS Programs Application (PDF)
  • • Medical Assistance for Breast or Cervical Cancer application (PDF)
  • • Minnesota Family Investment Program application information
  • • Minnesota Family Planning Program Application (PDF)
  • • Minnesota Health Care Programs Application – MinnesotaCare, Medical Assistance
  • • Human services provider license application forms
  • • Long-Term Care and Waiver Services Application (PDF)
  • • Telephone Equipment Distribution Program Application (PDF)
  • • Minnesota Health Care Programs provider enrollment application information

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