Minnesota Minnesota

MFIP Employment Services Manual

MFIP Employment Services Manual


24.12 What Is Needed in Employment Services Case File

ISSUE DATE: 03/2026

Include the following items in the MFIP Employment Services (ES) paper files:

  • · Employment Services Responsibilities, Rights and Consent (DHS-3172-ENG) (PDF) and Release of Information forms.
  • · Signed copies of the MFIP Employment Plan(s) (DHS-4209A-ENG) (PDF) and Employment Plan (EP) Modifications.
  • · Assessment materials, including: test scores, Chemical Dependency (CD), Mental Health (MH) and Learning Disabilities (LD) screening tools and observation check lists.
  • · Medical, psychological, and other pertinent health data collected.
  • · Verification of activity hours contained in the Employment Plan and entered on Workforce One (WF1) including:
  • · Activity logs/attendance records.
  • · School attendance records.
  • · Non-paid employment activities attendance records.
  • · Copies of Status Updates generated manually by job counselor.
  • · Forms required for the Injury Protection Program. See 11.15 (Injury Protection Program).
  • · Copies of On-The-Job Training contracts or worksite agreements with employers.
  • · MFIP Notice of Intent to Sanction (DHS-3175-ENG) (PDF) and other communications.
  • · Any documents needed for an external or internal fiscal review or audit.

  • Forms that may or may not have to be in the paper files:

  • · Notice of Requirement to Attend Minnesota Family Investment Program (MFIP) Overview (DHS-2929-ENG) (PDF).
  • · If the MFIP ES overview is being scheduled by eligibility workers, this form does not necessarily need to be in the ES file. When scheduling the overview, eligibility workers have the option of using this form or the Employment Services referral SPEC/LTR.
  • · Case notes (may be online).
  • Follow the Minnesota Department of Human Services general records retention schedule: County Human Services General Records Retention Schedule.
  • PREVIOUS REVISIONS

    DateNotes
    05/2025 adds last paragraph regarding general records retention schedule.
    08/2020

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