The Combined Application Form DHS-5223 (PDF) is used to gather information needed to determine eligibility for all Minnesota Department of Human Services cash and food programs.
The Minnesota Transition Application Form DHS-5223E (PDF) is used to apply for the Minnesota Family Investment Program (MFIP) for clients who currently receive benefits from the Diversionary Work Program (DWP)or have received benefits within the last 30 days.
The Combined Application – Addendum DHS-5223C (PDF) is an addendum to the Combined Application Form and is used for adding people to existing cash programs after the application has been processed. It call also be used but not required for collecting information on people added to the Supplemental Nutrition Assistance Program (SNAP) households.
The Change Report Form DHS-2402 (PDF) is a reporting form used by clients to report income, asset, and circumstance changes usually on a non-scheduled basis.
The Household Report Form DHS-2120 (PDF) is a reporting form used by clients to report income, asset, and circumstance changes on a scheduled basis.
Notice of Privacy Practices DHS-3979 (PDF) - general notice of privacy practices for cash and Supplemental Nutrition Assistance (SNAP) programs advising clients of how their private information may be used, disclosed and how they can receive this information.
Client Responsibilities and Rights DHS-4163 (PDF) - explains the responsibilities and rights of cash assistance, Supplemental Nutrition Assistance Program (SNAP) and child care assistance applicants and recipients.
MFIP for Minor Caregivers DHS-3238 (PDF) – explains what constitutes a minor caregiver, requirements for minor caregivers to receive benefits and exceptions to those requirements.
The Combined Manual (CM) gives financial workers a complete, authoritative and concise set of provisions to determine eligibility for cash and food programs and to issue client benefits on MAXIS.
The Employment Services Manual contains the policies and procedures of the Employment Services (ES) component of the Minnesota Family Invest Program (MFIP) and Diversionary Work Program (DWP). The primary users of the manual are the Employment Services Providers, who are contracted to help participants become employed and self-sufficient.
The Combined Manual (CM) gives eligibility workers a complete, authoritative and concise set of provisions to determine eligibility for the cash and food programs and to issue client benefits on MAXIS.
DHS bulletins are official communication to inform county and tribal staff, as well as other business partners, about program changes and required actions by workers and partner agencies.