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 Form DHS-6696-SOM?
A: Form DHS-6696-SOM is an application for health coverage and help paying costs in Minnesota. It is specifically designed for Somali-speaking individuals.
Q: Who can use Form DHS-6696-SOM?
A: Somali-speaking individuals in Minnesota can use Form DHS-6696-SOM to apply for health coverage and help with paying costs.
Q: What is the purpose of Form DHS-6696-SOM?
A: The purpose of Form DHS-6696-SOM is to provide a way for Somali-speaking individuals in Minnesota to apply for health coverage and get assistance with their costs.
Q: Is Form DHS-6696-SOM only available in Somali?
A: Yes, Form DHS-6696-SOM is specifically translated into Somali to cater to the Somali-speaking population in Minnesota.
Q: Can I get help with filling out Form DHS-6696-SOM?
A: Yes, you can get assistance with filling out Form DHS-6696-SOM by contacting your local county human services agency or other authorized organizations in Minnesota.
Form Details:
Download a printable version of Form DHS-6696-SOM by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.