This version of the form is not currently in use and is provided for reference only. Download this version of Form DHS-6696-ENG for the current year.
This is a legal form that was released by the Minnesota Department of Human Services - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DHS-6696-ENG?
A: DHS-6696-ENG is the application form for health coverage and help paying costs in Minnesota.
Q: Who is eligible to use DHS-6696-ENG?
A: Residents of Minnesota who need health coverage and financial assistance can use this application form.
Q: What does DHS-6696-ENG cover?
A: DHS-6696-ENG helps individuals apply for various health coverage programs and financial support in Minnesota.
Q: How do I fill out DHS-6696-ENG?
A: Read the instructions carefully and provide accurate information about yourself, your income, and your household members. Follow the guidelines for required documentation.
Q: What do I do after filling out DHS-6696-ENG?
A: Submit the completed application form to the appropriate office as instructed in the application.
Q: How long does it take to process DHS-6696-ENG?
A: Processing times for DHS-6696-ENG may vary, but you should receive a notice of eligibility or denial within a few weeks.
Q: What if my application is denied?
A: If your application is denied, you will receive a notice explaining the reasons for the denial. You may have the option to appeal the decision.
Q: Can I get help filling out DHS-6696-ENG?
A: Yes, you can seek assistance from trained navigators, brokers, or other community organizations to help you complete the application form.
Q: Are there any fees for DHS-6696-ENG?
A: No, there are no fees to submit the DHS-6696-ENG application form.
Form Details:
Download a fillable version of Form DHS-6696-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.