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Home  >  Government  >  Departments  >  Social Services - Forms
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Adult Foster Care Forms
  • Corporate Provider
    • With 245D HCBS Program license
      • Initial Application
      • Renewal of license
    • Without 245D HCBS Program License
      • Initial Application
      • Renewal of license
    • With Mental Health Certification
  • Family Provider
    • With 245D HCBS Program license
      • Initial Application
      • Renewal of license
    • Without 245D HCBS Program License
      • Initial Application
      • Renewal of license
      • Resident Information/Admission Documents
    • Elderly Waiver Provider Forms
View All Adult Foster Care Forms
Adult Day Services – Family Provider
Child Foster Care
  • Corporate Provider
    • Initial application
    • Renewal of license
  • Family Provider
    • Initial application
    • Renewal of license
  • Child Foster Care Training
View All Child Foster Care Forms
Family Child Care
  • Initial application
  • Renewal of license
  • Parental Forms
  • Relocation of License
View All Family Child Care Forms
Background Studies
  • Adult Foster Care – Corporate Provider
  • Adult Foster Care – Family Provider
  • Adult Day Services
  • Child Foster Care
  • Family Child Care
View All Background Studies Forms
Voucher Forms
Financial Assistance Forms
  • Child Care Assistance
  • Health Care, SNAP, Cash and Misc. Programs
  • MEC2 Pro Resources
View All Financial Assistance Forms
Plan & Policy Documents
Results 1 - 172 of 172
< Back
  • 2014 Background Study Changes
  • 2016-2017 Child Care Assistance Plan
  • 2016-2017 MFIP Biennial Service Agreement
  • Admission & Arrangements
  • Adult Foster Care Self Study Questionnaire
  • Adult Mental Health Grant Plan
  • AFC Alternate Overnight Supervision Technology Checklist
  • AFC Emergency Crisis 5th Bed Variance - General Request
  • AFC Emergency Crisis 5th Bed Variance - Initial Request
  • AFC Emergency Crisis Respite 5th Bed Variance - Instructions
  • AFC Guidelines to Developing Program Abuse Prevention Plan
  • AFC Individual Abuse Prevention Plan (IAPP)
  • AFC Individual Resident Placement Agreement
  • AFC Licensing Checklist - Corporate w/245D
  • AFC Licensing Checklist - Family & Corporate w/o 245D
  • AFC Licensing Checklist - Family w/245D
  • AFC Licensing Checklist - Mental Health Certification
  • AFC Program Abuse Prevention Plan
  • AFC Program Abuse Prevention Plan - Revised 6/15
  • AFC Program Plan
  • AFC Training Form
  • AFC/Community Residential Setting Home Safety Checklist
  • Age Group Definitions
  • Agreement between Foster Parents and Placement Agency
  • Alcohol & Drug Use Policy
  • Allergy Information Form 10-2017
  • Annual Training Tracking Record
  • Applicant Background Study Letter
  • Best Practices Guide - Wading Pools
  • Caregiver Tracking Record
  • CCAP Direct Deposit
  • CCAP Licensed Provider Registration and Acknowledgement
  • CFC Annual Evaluation
  • CFC Home Study & Licensing Application
  • CFC Licensing Checklist
  • CFC Licensing Checklist - Corporate Additional
  • Change Report Form (for cash assistance and food support) - DHS-2402-ENG
  • Child Care Assistance Program Application
  • Child Care Provider's Responsibilities and Rights
  • Child Foster Care Home Safety Checklist
  • Child Foster Care Privacy Notice
  • Child Foster Care Self Study Questionnaire
  • Child's Information Sheet
  • Civil Rights Compliance Plan
  • Community Residental Licensing Checklist
  • Community Residential Home Safety Checklist
  • Consent and Request for Law Enforcement adn Agency Records
  • Consent for Release of Information - Abuse & Neglect
  • Corporate AFC Background Study Training
  • Corporate AFC Licensing Application
  • Corporate CFC Licensing Checklist
  • Corporate CFC Supplemental Licensing Application
  • Crib Safety Inspection
  • CRS Relicensing Questionnaire
  • Definitions and Requirements for Co-Applicants, Adult Care Givers, Substitutes and Helpers
  • Description and Time Lines of Licensing Process
  • Developing a Program Abuse Prevention Plan
  • DHS Adoption Info Sheet
  • DHS Concurrent Planning Info Sheet
  • DHS Foster Care Statistics Sheet
  • DHS PPAI Info Sheet
  • Diapering Area Disinfection
  • Discipline Policy
  • Elderly Waiver Adult Foster Care Program Plan
  • Elderly Waiver Adult Foster Care Program Plan Instructions
  • Elderly Waiver Adult Foster Care Recipient Rights
  • Elderly Waiver Adult Foster Care Recipient Rights Instructions
  • Elderly Waiver Adult Foster Care Service Termination Policy
  • Elderly Waiver Adult Foster Care Service Termination Policy Instructions
  • Escape Plan
  • Exclusions from Licensing
  • Fact Sheet
  • Fact Sheet - Swimming Pool Risks
  • Fact Sheet - Wading Pool Risks
  • FADS Individual Service Delivery Plan
  • FADS Licensing Checklist
  • FADS Program & Policy Information
  • FADS Questions & Answers
  • FADS Requirements Chart
  • Family & Corporate without 245D Questionnaire
  • Family AFC & FADS Background Study Training
  • Family AFC Licensing Application
  • Family AFC w/245D Questionnaire
  • Family CFC Supplemental Licensing Application
  • Family Disaster Plan
  • Fire & Storm Drill Log
  • Fire Marshal Links
  • Fire Marshall Information Sheet
  • General Checklist
  • General Licensing Information
  • Grievance Procedure
  • Guilde to New Crib Standards
  • Handout for Applicants and License-Holders
  • Health Care Access Services Biennial Plan
  • Household Report Form - DHS-2120-ENG
  • Individual Fact Sheet
  • Infanct Rolling Over Permission Form
  • Infant Alternate Sleep Position
  • Infant Swaddling Permission Form
  • Initial Licensing Cover Letter
  • Instructions for completing new DHS application forms
  • Instructions for Completing Request for Mental Health Certification
  • Is foster parenting right for you?
  • Is this business for you?
  • Laws Regarding the Completion & Use of Parent Forms
  • Liability Insurance Notice
  • License Applicant Considerations
  • Licensed Family Child Care Providers
  • Licensing Application
  • Licensing Checklist
  • Limited English Proficiency Plan
  • Maltreatment of Minors Act
  • Maltreatment of Minors Reporting Policy
  • Maltreatment of Vulnerable Adult Reporting Policy
  • Maltreatment of Vulnerable Adults Act
  • MDH Child Care Immunization Form
  • MDH Comunicable Disease Rule
  • MDH New Immunization Laws
  • MEC2 Flowcharts for Providers
  • MEC2 Provider Training document
  • Medical Mileage Reimbursement Procedure
  • Medical Monitoring Equipment Training
  • Medical Trip Reimbusement Form
  • Mental Health Certification - Attachment A
  • Mental Health Certification - Attachment B
  • Mental Health Certification Request
  • Mental Health Training Requirement
  • Minnesota Health Care Programs Change Report Form (for Medical Assistance and Minnesota Care) - DHS-4796-ENG
  • MJUA Claim Form
  • Monthly Log In/Log Out Sheet
  • National Background Check Program video
  • NetStudy Instructions - Existing Providers
  • NetStudy Instructions - New Providers
  • Notice of Privacy Practices
  • Notice of Privacy Practices
  • Owner Permission for Fire Marshal Inspection
  • Owners Permission for Fire Marshall Inspection
  • Permission to Administer Medications
  • Physician's Report
  • Policy for Parental Fees for Out-of-Home Placement
  • Preparing for Your Family Day Care Relicensing Visit
  • Prospective Foster Family Letter
  • Relicensing Cover Letter
  • Relocation Checklist
  • Relocation of License
  • Reporting Policy of Child Abuse and Neglect
  • Request for County Burial - asset sheet
  • Requirements Regarding Wading & Swimming Pools
  • Rule - MN Chapter 9502
  • Rule Summary for Parents
  • Self Study Questionnaire
  • Smoke-free Environment
  • Special Family Child Care Homes
  • Special Licensing Application
  • State Fire Marshall Info Sheet
  • Statement of Intended Use
  • SUID/AHT Video Training
  • Swimming Pool Letter to Parents
  • Swimming Pool Permission Form
  • Tips for Fire and Storm Drills
  • Training Record
  • Training Requirements BEFORE Applicant is Licensed
  • Training Requirements FOR License Holder
  • Travel Authorization
  • Unpaid Worksite Agreement
  • Varicella (Chickenpox) or Zoster (Shingles) Case Report Form
  • Vendor Direct Deposit Form
  • Vendored Service Voucher
  • Vulnerable Child & Adults Act Plan
  • W-9 Request for Taxpayer ID
  • Wading Pool Permission Form
  • Workers Compensation Compliance Form
Results 1 - 172 of 172
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© 2019 by Douglas County, Minnesota
County Seat: Douglas County Court House, 305 8th Ave W, Alexandria, MN 56308
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