Minnesota Minnesota

Combined Manual

Combined Manual


NOTICE OF INCOMPLETE OR MISSING REPORT FORM

ISSUE DATE: 03/2026

MAXIS will send a notice of termination at least 10 days before the effective date to clients who fail to submit a required Household Report Form (HRF) (DHS-2120) (PDF) or Combined Six-Month Report (CSR) (DHS-5576) (PDF).

The notice will contain the information in 0026.03 (Content of Notices) and the information listed below for each program.

For incomplete forms, send the Notice of Late or Incomplete Household Report Form, Health Care Renewal Form or Combined Six-Month Report or Recertification (DHS-2414) (PDF) using the time frames in 0007.12.06 (Incomplete HRF/CSR). Include the following information:

When the HRF or CSR was received.

The date the completed HRF or CSR was due.

Which items were missing.

That they must complete the missing items and return the form.

The date by which they must return the HRF or CSR.

What items of verification they must provide.

If clients sign or send in a HRF before the end of the month for which they were reporting, tell them to sign and date the form again on or after the last day of the report month.


See 0007 (Reporting).


MFIP, GA, HSP:
Follow general provisions.


SNAP:
The autoclose notice for Six-Month Reporters will contain a reminder sentence to inform clients that, if the Six-Month Report form is not returned to the county agency or Tribal Nation, their SNAP case will close within 10 days from the date of the autoclose notice.

The notice will inform clients they will receive benefits retroactive to the date the agency receives the complete CSR and the necessary verification(s) if they submit it in the month following the month in which it was due. They must meet all other eligibility requirements.


MSA:
The notice will inform clients they will receive benefits retroactive to the 1st day of the month the agency receives the completed HRF or CSR if they submit it in the month following the month in which it was due. They must meet all other eligibility requirements.


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PREVIOUS REVISIONS

DateNotes
10/2025 updates made due to the Legislative Implementation for six-month budgeting.
01/2021 in SNAP under the sub-header SNAP SIX-MONTH REPORTERS adds information about the autoclose notice.
01/2020 update the form title to Notice of Late or Incomplete Household Report Form, Health Care Renewal Form or Combined Six-Month Report or Recertification (DHS-2414) due to title change. No policy was changed.
04/2015 Removed WB.  This program was suspended 12/1/14.
10/2012 update Food Support and FS to Supplemental Nutrition Assistance Program (SNAP) and FSET to SNAP E&T throughout. No policy was changed.

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