Instructions for Form DHS-6939-ENG Ma-Epd Good Cause Request Form - Minnesota

Instructions for Form DHS-6939-ENG Ma-Epd Good Cause Request Form - Minnesota

This document contains official instructions for Form DHS-6939-ENG , Ma-Epd Good Cause Request Form - a form released and collected by the Minnesota Department of Human Services.

FAQ

Q: What is Form DHS-6939-ENG?
A: Form DHS-6939-ENG is the Good Cause Request form used in Minnesota.

Q: What is the purpose of Form DHS-6939-ENG?
A: The purpose of Form DHS-6939-ENG is to request Good Cause exemption in Minnesota.

Q: Who needs to use Form DHS-6939-ENG?
A: Individuals in Minnesota who are applying for or receiving public assistance benefits and need to request a Good Cause exemption.

Q: What is a Good Cause exemption?
A: A Good Cause exemption is a request to waive or modify certain requirements for receiving public assistance benefits based on a valid reason.

Q: What information do I need to provide on Form DHS-6939-ENG?
A: You will need to provide personal information, details about your situation, and any supporting documentation to support your Good Cause request.

Q: What happens after I submit Form DHS-6939-ENG?
A: After you submit Form DHS-6939-ENG, your local Minnesota county agency will review your request and make a decision based on the information provided.

Q: Can I appeal if my Good Cause request is denied?
A: Yes, if your Good Cause request is denied, you have the right to appeal the decision by following the instructions provided by your local Minnesota county agency.

Q: Are there any fees associated with submitting Form DHS-6939-ENG?
A: No, there are no fees associated with submitting Form DHS-6939-ENG or requesting a Good Cause exemption in Minnesota.

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Instruction Details:

  • This 2-page document is available for download in PDF;
  • Actual and applicable for the current year;
  • Complete, printable, and free.

Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the Minnesota Department of Human Services.

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