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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.
Call 612-348-3000, Monday through Friday, 8 a.m. to p.m.
Additional questions, call Hennepin County at 612-348-5937. Based on your answers to a few questions, we will: Direct you to apply online using MNBenefits.mn or mail a child care application packet, or. Add your name to a waiting list (if funds are not available), or.
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.
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.
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.
Disability HUB MN offers assistance for people under 65 with disabilities. Call 1-866-333-2466. Hennepin County Front Door allows you to talk to a county staff member about your options, including referrals and information.
Who do I report a change to? If someone in your household gets MA, report a change to your county or tribal agency. If no one in your household gets MA, but someone in your household does get MinnesotaCare, report a change to DHS Health Care Consumer Support at 800-657-3672 or 651-297-3862.
For all other questions about our Home-Based or PCA Services, please call us at (612) 706-5511 or email actg@actg.