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Dhs 5204 Eng Form

Dhs 5204 Eng Form

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Did you know you can file an appeal using theonline Appeal Tool?If you disagree with an action taken by the county or statethat affects your benefits from cash, food, healthcare, or othersocial service programs and want to appeal the action, the AppealTool makes filing and keeping track of your appeal easy!Have you been disqualified from receiving benefitsor working in certain licensed facilities?Or do you want to dispute a findingby a state or county agency about the maltreatment of avulnerable adult or child?You can also use the tool to file appeals regardingdisqualification and maltreatment findings.You'll find the Appeal Tool at mn.gov/dhs.Once there, type "Appeals" in the search fieldand select the hyperlink for"Appeals/Minnesota Department of Human Services."All you need to get started is an online account.If you are the person whom the appeal is for and you alreadyhave an online account with MNsure for healthcare benefits,you MUST use

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