This is a legal form that was released by the Minnesota Department of Human Services - a government authority operating within Minnesota.
The document is provided in Somali. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the Form DHS-5223-SOM?
A: Form DHS-5223-SOM is the Combined Application Form used in Minnesota specifically for Somali-speaking individuals.
Q: What is the purpose of the Form DHS-5223-SOM?
A: The purpose of the Form DHS-5223-SOM is to apply for various social services and benefits in Minnesota.
Q: Who can use the Form DHS-5223-SOM?
A: The Form DHS-5223-SOM is specifically designed for Somali-speaking individuals residing in Minnesota.
Q: What services and benefits can be applied for using the Form DHS-5223-SOM?
A: The Form DHS-5223-SOM can be used to apply for services such as medical assistance, cash assistance, nutrition assistance, child care assistance, and emergency assistance.
Q: Are there any fees associated with submitting the Form DHS-5223-SOM?
A: No, there are no fees associated with submitting the Form DHS-5223-SOM.
Q: Are there any income or eligibility requirements to use the Form DHS-5223-SOM?
A: Yes, there are income and eligibility requirements that must be met in order to qualify for the services and benefits applied for using the Form DHS-5223-SOM.
Q: Can I get assistance in filling out the Form DHS-5223-SOM?
A: Yes, you can get assistance in filling out the Form DHS-5223-SOM. Somali-speaking staff and interpreters are available to help.
Form Details:
Download a printable version of Form DHS-5223-SOM by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.