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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.
Apply for health care assistance Most people can apply online at MNsure or call 1-855-366-7873. People 65+ and people with a disability: Download and complete an application and submit to Hennepin County.
Renting a home in Hennepin County or be staying in someone else's home. In danger of losing your home within 30 days. Living with income less than $2,175 per month for a single person or $3,104 per month for a family of four.
Apply for benefits Apply for economic benefits whenever, wherever. Apply online or call 612-596-1300 Monday through Friday, 9 a.m. to 4 p.m.
A consumer guidebook for Personal Care Assistance Services is located at or by calling (651) 431-2400 or (800)747-5484. This information is available in alternative formats to individuals with disabilities by calling your agency at (651) 431‑2400 or (800) 747‑5484.
Call Hennepin County Front Door at 612-348-4111. You can call that number Monday through Friday, 8 a.m. to 4 p.m. except holidays. You will speak with someone to help you identify your needs and offer options for service. We may refer you to services or agencies for treatment and support.
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.
Avivo currently provides long-term and short-term case management for recipients in Hennepin County, and offers short-term services additionally for clients in Anoka and Dakota Counties. For questions or to learn how to connect to services, email Ashley Schulte-Herman at tcm.intake@avivomn or call 612.210. 1393.