Get Suggested Form For Request For Reconsideration Of Disqualification Due To A Criminal Offense
Type Child Foster Care o Relatives only REQUEST FOR RECONSIDERATION OF DISQUALIFICATION FORM Return this form to Minnesota Dept. of Human Services Division of Licensing Family Systems Unit Licensing Division PO Box 64242 St. Paul MN 55164-0242 o PLEASE TYPE OR PRINT Applicant Current License Holder/Corporation Relatives and non-relatives o Non-relatives only Family Child Care Adult Foster Care Disqualified Person New DHS RRDQ 4/08 Repeat Request .
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