Get Dhs 5223

Filling out the Dhs 5223, the combined application form for food support, cash assistance, and health care programs, can be straightforward with the right guidance. This comprehensive guide will provide step-by-step instructions to help you complete the form accurately and efficiently online.

Follow the steps to fill out the Dhs 5223 online.

1. Press the ‘Get Form’ button to access the application form and open it in your editor.
2. Begin by filling in the applicant’s legal name at the top of the form. Include any other names used, such as maiden names or nicknames, if applicable.
3. Input the case number and indicate how many people live in your household, specifying the number of adults and children separately.
4. Provide your birth date, gender, and address where you currently reside. If you are homeless, write ‘homeless’ in the address field.
5. Fill in your phone number and check the box if you need an interpreter. Specify your preferred spoken and written languages.
6. Complete the marital status section and provide your Social Security number, along with the date you most recently moved to Minnesota and your citizenship status.
7. Indicate which programs you are applying for (food support, cash, emergency help, or health care) and provide any required income and expense information.
8. List all household members on pages 3 and 4, including their legal names, relationships to you, and any additional information required.
9. Review the penalty warnings and qualification questions, ensuring you understand the implications of providing false information.
10. Sign and date the form at the end, and ensure all necessary supporting documents are prepared for submission.
11. Once you’ve completed the form, save your changes, download, print, or share it as needed before final submission.

Complete the Dhs 5223 online today to access the assistance you need.