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Get Mn Dhs-7122-eng 2022-2025
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How to fill out the MN DHS-7122-ENG online
Completing the MN DHS-7122-ENG form online is an essential step for individuals seeking assistance with housing support. This guide provides clear, step-by-step instructions for filling out each section of the form to ensure you submit accurate information.
Follow the steps to successfully complete the MN DHS-7122-ENG form online.
- Press the ‘Get Form’ button to obtain the MN DHS-7122-ENG form and open it in your preferred online editor.
- Begin filling out Section 1: Housing Situation. Indicate your current housing status by selecting one or more options provided. This section is mandatory for Medical Assistance Housing Stabilization Services applicants.
- Proceed to Section 2: Disabling Condition. Ensure this section is completed by a qualified professional. Select the applicable disabling condition and provide the required information about the qualified professional.
- If you are applying for Medical Assistance Housing Stabilization Services, fill out Section 3: Medical Assistance Housing Stabilization Services. Indicate the areas where support is needed to find or maintain stable housing.
- For Minnesota Housing Support, complete Section 4: Minnesota Housing Support Supplemental Services. Indicate two or more supports that are needed to access or maintain housing.
- If applicable, complete Section 5: Transition from Residential Treatment to Minnesota Housing Support Program. This section must be filled by residential treatment staff for those exiting a behavioral health treatment program.
- Once all sections are completed, review your information carefully. You will need to electronically sign the form by checking 'I agree' and typing your name in the signature field.
- After reviewing and signing, you can save changes, download, print, or share the completed form as needed.
Complete your MN DHS-7122-ENG form online today to access the assistance you need.
For those eligible, Housing Stabilization Services (HSS) is a Minnesota Medical Assistance benefit to help people with disabilities (including mental illness and substance use disorder) and seniors find and keep housing.
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