Applicant Forms
Shared Residency Permit Application
Mentor Evaluation of ALDIR/ALD Mentee
Permit Request Form (Complete when changing application type and you need to request a permit).
Name Change/Correction Form
Lost License and Replacement License
Online Portal Technical Support Request
Request to Add or Update a Facility
Licensee Forms
Mentor Evaluation of ALDIR/ALD Mentee
Shared Director Agreement
Name Change/Correction Form
Lost License and Replacement License
Online Portal Technical Support Request
Request to Add or Update a Facility
Continuing Education Approval Application
Continuing Education Provider Mailing Label Request Form
Request for Continuing Education Provider Mailing List
Minnesota Board of Executives for Long Term Services and Supports (BELTSS)