Combined Application Form ( CAF) MFIP, DWP, SNAP, MSA, GA, GRH:
The Combined Application Form (CAF) (DHS-5223) (PDF) allows people to apply for multiple assistance programs on 1 form.
To apply for any of the following assistance programs: visit Link
- Minnesota Family Investment Program (MFIP).
- Refugee Cash Assistance (RCA).
- Diversionary Work Program (DWP).
- General Assistance (GA).
- Minnesota Supplemental Aid (MSA).
- Group Residential Housing (GRH).
- Supplemental Nutrition Assistance Program (SNAP).
- Emergency Assistance.
MA Application Steps
- Find DHS 3531
- Visit DHS Edocs site: https://mn.gov/dhs/general-public/publications-forms-resources/edocs/
- Search DHS 3531 MA LTC application
- Complete application
- Fax or drop application to appropriate County
Waiver Eligibility Types
- CADI waiver
- BI waiver
- DD waiver
- CAC waiver
- AC-EW waiver
To determine service eligibility, please contact your county Waiver Assessment department
Waiver assessment request contacts for all MN counties link