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Form 433-B Minnesota Hennepin: What You Should Know
Form 440-B (S.H.P.C.) (Rev. 3-1301) -- State This form is provided to your county Social Services Department when applications are received from certain areas where an individual is in need of shelter. You can also obtain information on Social Service's. You can get information about eligibility. Form 440-B (S.H.P.C.) (Rev. 3-1301) -- Social Services (Hennepin County) To Apply for Minnesota State Medical Support Services for the Elderly Aged adults and their beneficiaries living in Hennepin County, Minnesota, will automatically receive services which include: Housing services. Psychiatric and psychiatric aides. Assistance with personal care. Housing and utilities assistance. Income maintenance. Emergency help. Income support for the elderly. Housing and utilities assistance. Insurance and medical care. Housing services To apply for Hennepin County State Medical Assistance Program: You must apply with a Minnesota State agency, and you must be a resident of Hennepin County. To apply, you can download and fill out Form 908H or 908C . Submit your completed Form 908H or Form 908C or other documentation, including payment proof, to the location below: P. O Box 1214 Minneapolis, MN 55 Minnesota Department of Human Services Attn: Adult and Elderly Services 200 S. 3rd St. St. Paul, MN 55105 Vermicelli Department of Mental Health 1801 Oak Street St. Paul, MN 55116 Minnesota Department of Human Services Attn: State Division of Aging 200 S. 2nd Street Ste. 200 St. Paul, MN 55105 You will need to provide Social Security, Social Security card, photo identification, proof of current income, a signed statement from each of these persons, and proof of insurance or other income. You may also call for a state income tax notice and tax return if you are eligible for the EAP. In addition, if you are receiving SDI, you must provide documentation that you are qualified for the SSI, SDI, or SDI program. Click here.
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