Our built-in tools help you complete, sign, share, and store your documents in one place.
Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.
Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.
Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.
If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.
We protect your documents and personal data by following strict security and privacy standards.

Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
To apply for assistance, fill out an online application or print the combined application form and mail it back to the address below. You may also call 612-596-1300 to have a form mailed to you. Get a translated form from DHS. You can mail the form to P.O. Box 107, Minneapolis, MN 55440.
How to submit forms and documents and update your information Update information and upload documents to InfoKeep. Upload to MNbenefits. Fax to 612-288-2981. Mail to: Hennepin County Human Services Department. P.O. Box 107. Minneapolis, MN 55440.
SNAP: Clients MUST complete a Household Update Form (HUF) (DHS-8107), Combined Application Form (CAF) (DHS-5223) (PDF), MNbenefits application or a Combined Annual Renewal for Certain Populations (DHS-3727) (PDF), have an interview, and provide required verifications to be recertified.
Make sure to let us know if your address has changed. Visit Hennepin County Healthcare assistance or call our Member Services at 612-596-1036, TTY 711. If you have MinnesotaCare, contact Health Care Consumer Support at 651-297-3862 or 800-657-3672.
Hennepin Health PMAP is a managed care program that ensures access to the care and services our members need. If you live in Hennepin County and are eligible for Medical Assistance (MA), Hennepin Health allows you to choose from a wide variety of services and providers within the Hennepin Health network.
Call us. Call 612-348-3000, Monday through Friday, 8 a.m. to p.m.
No. MinnesotaCare is only for people who cannot get Medicare, Medical Assistance (MA), or affordable employer-sponsored coverage.
Update your profile with your new address Log in to your Marketplace account. Select your name in the top right of the screen and select “My Profile.” Select “Edit” next to the “Address” field. Report email and phone changes on your HealthCare profile this same way.
If your information has changed, you can update it online at benefitscal, or by calling 1-866-613-3777 (TTY) 1-800-660-4026. This way, the county can contact you about your Medi-Cal.