Skip navigation
Navigation
Hennepin County, Minnesota
  • Subscribe
  • Jobs
  • Employees
  • Media
  • Contact
  • Home
  • Residents

    Information and services

    • Residents

      Information and services

      • Conservation
      • Elections
      • Emergencies
      • Health and medical
      • Human services
      • Libraries
      • Licenses, certificates and permits
      • Property
      • Public safety and law
      • Recreation
      • Recycling and hazardous waste
      • Transportation
  • Business

    Regulations and opportunities

    • Business

      Regulations and opportunities

      • Conservation
      • Licenses and permits
      • Property
      • Recycling and hazardous waste
      • Work with Hennepin County
  • Your government

    Leadership and engagement

    • Your government

      Leadership and engagement

      • Budget and finance
      • Facilities
      • Get involved
      • Leadership
      • Open government
      • Ordinances
      • Overview
      • Projects and initiatives
      • Research and data
  • Online services

    Transactions and applications

    • Online services

      Transactions and applications

      • Apply
      • Ask
      • Search
      • Pay
      • Report
      • Schedule
      • Learn
Hennepin.us
Search

Hennepin County > Human services > Human services e-forms

Human services e-forms

Below is a list of frequently requested Human services forms. Click on the form to complete and print.

Learn how to submit documents.

  • Absent parent statement
  • Application for payment of long-term care services
  • Authorization to obtain or release information/records
  • Change report form
  • Child care assistance program (CCAP) Change Report
  • Combined annual renewal for certain populations
  • Combined application form (or complete via MNbenefits.org)
  • Combined application – addendum (DHS)
  • Combined six-month report
  • Employment verification
  • Financial aid verification
  • Gift or loan statement
  • Household report form (HRF)
  • Household update form (or complete via MNbenefits.org)
  • Minnesota health care programs (MHCP) – Application for certain populations
  • Minnesota health care programs (MHCP) – Renewal
  • Minnesota health care programs (MHCP) – Renewal for families, children and adults
  • Minnesota health care programs (MHCP) – Renewal for people receiving long-term care services
  • MNsure – Application for health coverage and help paying costs
  • Request for medical opinion
  • School verification
  • Self employment report
  • Shelter verification form (complete and print)
  • Shelter verification online form (submit online)
  • Special diet instruction request
  • Statement of assets

If you are not able to find the form you are looking for, search for additional forms below:

Searchable document library (eDocs) / Minnesota Department of Human Services (mn.gov)

Contact

Phone: 612-596-1300

Toll free: 844-803-8466

M-F, 9 a.m. to 4 p.m.

Prevent fraud

pa.fraud@hennepin.us

Anonymous tip line: 612-348-4952

Online fraud reporting form

  • Home
  • Residents
  • Business
  • Your government
  • Online services
  • Subscribe
  • Jobs
  • Employees
  • Media
  • Contact

Follow us

  • Facebook
  • X
  • Instagram
  • YouTube
  • LinkedIn

Accessibility | Privacy | Open Government | Copyright 2025

Hennepin County
Top