
DHS5223ENG 1121Combined Application Form Apply online at www.applymn.dhs.mn.govThis application can be used to apply for any of the following programs:How to fill out this application Read all of.
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How to fill out the MN DHS DHS-5223-ENG online
Filling out the MN DHS DHS-5223-ENG form, also known as the Combined Application Form, is a crucial step in applying for various assistance programs in Minnesota, such as Supplemental Nutrition Assistance Program (SNAP) and cash assistance programs. This guide provides a clear, step-by-step approach to help you complete the form accurately and efficiently.
Follow the steps to effectively complete the application online.
- Press the ‘Get Form’ button to access the online application. This will open the form for you to begin filling it out.
- Start with page 1 of the application. Provide your legal name, Social Security number, date of birth, and address. Make sure to answer all questions accurately.
- Indicate your marital status and specify if you have been a veteran. This information is important for determining your eligibility.
- For each person in your household, list their names, Social Security numbers, dates of birth, and relationships to you. Ensure that you only provide the Social Security numbers for those applying for assistance.
- Complete the sections related to your citizenship status and immigration, making sure to check the appropriate boxes for each household member.
- Fill out information regarding household income, expenses, and resources. Be sure to provide proof of income if requested as it is essential for verification.
- Answer questions about your household situation, including any disabilities or special circumstances that may affect your application.
- Once all fields are completed, review your answers to ensure accuracy. Pay particular attention to the signature fields on pages 1 and 10—these must be signed to proceed.
- Submit your application electronically once you are satisfied with your entries. You can also choose to save changes, download, print, or share the completed form.
Start your application today to access the assistance you need!
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