Form DHS-6126-ENG State Medical Review Team (Smrt) Children's Disability Worksheet - Minnesota

Form DHS-6126-ENG State Medical Review Team (Smrt) Children's Disability Worksheet - Minnesota

What Is Form DHS-6126-ENG?

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.

FAQ

Q: What is the DHS-6126-ENG?
A: DHS-6126-ENG is the form for the State Medical Review Team (SMRT) Children's Disability Worksheet in Minnesota.

Q: What is the purpose of the SMRT Children's Disability Worksheet?
A: The SMRT Children's Disability Worksheet is used to determine eligibility for disability benefits for children in Minnesota.

Q: Who is responsible for completing the SMRT Children's Disability Worksheet?
A: The State Medical Review Team (SMRT) is responsible for completing the SMRT Children's Disability Worksheet.

Q: What information is required on the SMRT Children's Disability Worksheet?
A: The SMRT Children's Disability Worksheet requires information about the child's medical condition and functional limitations.

Q: Are there any fees associated with submitting the SMRT Children's Disability Worksheet?
A: No, there are no fees associated with submitting the SMRT Children's Disability Worksheet.

Q: What should I do if I have questions about the SMRT Children's Disability Worksheet?
A: If you have questions about the SMRT Children's Disability Worksheet, you should contact the State Medical Review Team (SMRT) or the Minnesota Department of Human Services for assistance.

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Form Details:

  • Released on July 10, 2014;
  • The latest edition provided by the Minnesota Department of Human Services;
  • 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 printable version of Form DHS-6126-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.

Download Form DHS-6126-ENG State Medical Review Team (Smrt) Children's Disability Worksheet - Minnesota

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