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This version of the form is not currently in use and is provided for reference only. Download this version of
Form MN AC03
for the current year.
Form MN AC03 Annual Claim for Reimbursement of Supplementary Benefits - Minnesota
What Is Form MN AC03?
This is a legal form that was released by the Minnesota Department of Labor and Industry - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the MN AC03 form?
A: The MN AC03 form is the Annual Claim for Reimbursement of Supplementary Benefits form in Minnesota.
Q: What are supplementary benefits in Minnesota?
A: Supplementary benefits in Minnesota are additional benefits provided on top of regular benefits to eligible residents.
Q: Who needs to fill out the MN AC03 form?
A: Residents in Minnesota who are eligible for supplementary benefits need to fill out the MN AC03 form.
Q: What is the purpose of the MN AC03 form?
A: The purpose of the MN AC03 form is to claim reimbursement for supplementary benefits received.
Q: How often do I need to submit the MN AC03 form?
A: The MN AC03 form needs to be submitted annually to claim reimbursement for supplementary benefits.
Form Details:
- Released on September 1, 2015;
- The latest edition provided by the Minnesota Department of Labor and Industry;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form MN AC03 by clicking the link below or browse more documents and templates provided by the Minnesota Department of Labor and Industry.
Download Form MN AC03 Annual Claim for Reimbursement of Supplementary Benefits - Minnesota
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