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MN Rule 24 Eligibility Screening/Determination - Hennepin County 2020-2025 free printable template

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Hennepin County Rule 24 Eligibility Screening/Determination Reason seeking assessment/treatment services/what is the primary drug of concern in the past 12 months. From: Program Name/Location/Phone/Fax/contact
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How to fill out MN Rule 24 Eligibility Screening/Determination - Hennepin

01
Obtain the MN Rule 24 Eligibility Screening/Determination form from the Hennepin County website or office.
02
Fill out the required personal information, including your name, address, date of birth, and contact details.
03
Provide information about your household composition, including the names and ages of all family members.
04
Indicate your current income and any sources of income, such as employment, benefits, or other financial support.
05
Complete sections regarding any disabilities or special needs, and provide documentation if required.
06
Review the form for accuracy and completeness.
07
Submit the completed form either online, by mail, or in-person at a designated Hennepin County office.

Who needs MN Rule 24 Eligibility Screening/Determination - Hennepin?

01
Individuals or families seeking assistance with mental health services.
02
People experiencing a crisis or who may need an evaluation for mental health eligibility.
03
Residents of Hennepin County looking for access to specific services funded under MN Rule 24.
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MN Rule 24 Eligibility Screening/Determination - Hennepin is a process used to assess the eligibility of individuals for certain programs and services under Minnesota law, specifically in Hennepin County.
Individuals seeking access to specific programs and services that require the eligibility determination are required to file MN Rule 24 Eligibility Screening/Determination - Hennepin.
To fill out MN Rule 24 Eligibility Screening/Determination - Hennepin, applicants must complete the required forms with accurate personal and demographic information, provide supporting documentation, and submit the forms to the designated county office.
The purpose of MN Rule 24 Eligibility Screening/Determination - Hennepin is to evaluate an individual's qualifications for access to specific county programs and services, ensuring that resources are allocated to those who meet the established criteria.
The information that must be reported includes personal identification details, income and financial information, household composition, and any additional data relevant to the eligibility criteria established by the county.
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