Form Instructions W-9 Minnesota Hennepin 2024-2025

Form Instructions W-9 Minnesota Hennepin: What You Should Know

EAP must be informed of all the information, not just that requested. Providers, vendors and service providers for the Minnesota EAP program can be found on the Minnesota Department of Social Services website: Minnesota Provider Listing Dec 31, 2025 — No new provider requests will be accepted for Minnesota in 2021. Minnesota Provider Listing.  This is a new tool that allows you to search for providers in the state, including any providers who have already received approval and are continuing to offer the services in Minnesota. Minnesota Provider Search (DMS) This form is designed to simplify the process of submitting information and is based on instructions provided by the Secretary. These instructions include the number to call and how to enter all information on the form. EAP can submit information on this form. Use this form to submit Provider Info for an Individual Client in Minnesota. Provider Info For a Couple in Minnesota. Provider Info For a Group in Minnesota. Provider Info For a Family in Minnesota. Provider Info for Minors or People with Disabilities. Please email DMS at to receive a copy of this form when it is available, to report any issues with the application, and the link to download the form. DHS/DRA Form This is the completed form that will be issued to a provider, if they qualify to serve in Minnesota: DHS/DRA Application This form is a form which can only be used if you meet the minimum service requirements for Minnesota. If you have questions about the requirements to be qualified as a provider in Minnesota, please contact DHS/DRA through the contact information above.

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