Links to County Forms and Documents:

 

GRH Specific Forms for Eligibility

 

• Professional Statement of Need  (PSN) Updated Annually  https://edocs.dhs.state.mn.us/lfserver/Public/DHS-7122-ENG

   

• Long Term Homeless Verification  (LTH) http://www.mnhousing.gov/wcs/Satellite?c=Page&cid=1403286996686&pagename=External%2FPage%2FEXTStandardLayout

   

• Habitability Inspection Form  (Hab. form)   https://edocs.dhs.state.mn.us/lfserver/Public/DHS-7123-ENG 

 

• Shelter Verification Form (SVF) https://edocs.dhs.state.mn.us/lfserver/Public/DHS-2952-ENG

 

• Interim Assistance Agreement Form  (IAA) Updated annually (2 forms; SSI and Non SSI)

   

• SSI version: https://edocs.dhs.state.mn.us/lfserver/Public/DHS-1795-ENG

   

• Non SSI version: https://edocs.dhs.state.mn.us/lfserver/Public/DHS-1795A-ENG

   

Commonly Used Forms

​

• Household Report Form         https://edocs.dhs.state.mn.us/lfserver/Public/DHS-2120-ENG

​

• Change Report Form                 https://edocs.dhs.state.mn.us/lfserver/Public/DHS-2402-ENG

​

• Employment Verification Form     https://edocs.dhs.state.mn.us/lfserver/Public/DHS-2146-ENG

​

• CAF (Combined Application Form)     https://edocs.dhs.state.mn.us/lfserver/Public/DHS-5223-ENG

​

• Combined Six-Month Report Form      https://edocs.dhs.state.mn.us/lfserver/Public/DHS-5576-ENG

​

• Voluntary Vendor Form     https://edocs.dhs.state.mn.us/lfserver/Public/DHS-2984-ENG

  ​