stop work verification form mn

Please seek professional legal advice if you are not sure this is the correct form for your situation. l(i`_Vh5F,mXB7sJK~A."ak&MaWtyB\"#upI7HD6 .Qpfv \#ba=Jzc0%FFA(=Z(pK4V:pT"#nQ $F_Mq~$\b7 .QpQ $FF#Lzup! 0026.30 - NOTICE, DISQUALIFICATION OF AUTHORIZED REP. 0026.33 - NOTICE, DENYING GOOD CAUSE FOR IV-D NON-COOP, 0026.39 - NOTICE OF OVERPAYMENT AND RECOUPMENT, 0026.42 - NOTICE OF INCOMPLETE OR MISSING REPORT FORM, 0026.51 - NOTICES - CHEMICAL USE ASSESSMENT, 0027.12.03 - APPEAL HEARING EXPENSE REIMBURSEMENT, 0028.03 - COUNTY AGENCY EMPL. /Pages 1 0 R Follow general provisions. 7.3425 TL In MFIP, DWP deletes all previous provisions and adds new provisions. 3) Workforce and Utilization Analysis. Human services e-forms. Do not run a Systematic Alien Verifications for Entitlements (SAVE) report unless you have determined that the applicant meets all other program requirements and the client would be eligible for benefits if the immigration status requirement is met. Document this verbal statement in CASE/NOTEs. %%EOF ET It also in the 4th paragraph adds tribe language. 0 0 9.96 9 re BT Please turn on JavaScript and try again. If the exemptions are not listed below, they do not need to be verified unless questionable. EMC n 0000006779 00000 n /H [ 0000001041 0000000192] << 0026.06 - NOTICE - APPROVAL OF APPLICATION OR RECERT. ET CASES, 0022.09 - WHEN TO SWITCH BUDGET CYCLES - CASH, 0022.09.03 - WHEN TO SWITCH BUDGET CYCLES - SNAP, 0022.12 - HOW TO CALC. breaks MFIP, DWP into their own provisions and adds when not to request verification of school attendance. in SNAP in the 2nd paragraph clarifies to allow the listed verifications only if an applicant/participant wants a deduction from their income for them. Work Experience Verification Form Minnesota Department of Labor and Industry Construction Codes and Licensing Division 443 Lafayette Road North PO Box 64217 St. Paul, MN 55164-0217 Phone: 651.284.5031 Email: dli.exam@state.mn.us Web site: www.dli.mn.gov PRINT clearly IN INK OR TYPE Do not request verification of earned income of an elementary, secondary, or GED student IF the student is in school at least half-time, is under age 18, is working, AND lives with a natural, adoptive, or stepparent or is under the parental control of a household member other than a parent. 0000019304 00000 n f << Minnesota Department of Labor & Industry Construction Codes and Licensing Division Licensing and Certification Services 443 Lafayette Road North St. Paul, MN 55155 Mailing Address: PO Box 64217 St. Paul, MN 55164-0217 Phone: 651.284.5031 Email: dli.exam@state.mn.us Web site: www.dli.mn.gov . This form is for clients who have a six-month renewal for health care eligibility or a six-month report for the Supplemental Nutrition Assistance Program (SNAP) due. If DHS does not provide a form for a given purpose, the county or tribe may develop their own form; however, the form must meet the requirements in TEMP Manual TE12.02.01 (County Designed Forms). 2.7962 2.7525 Td > W Forms / Minnesota Department of Employment and Economic Development Home Programs and Services Dislocated Worker Program For Counselors and Service Providers Forms Forms Here we offer these frequently requested forms and tools. {e.2J0+z0.lG%12 /MarkInfo << Get the documents for Minnesota Employment verification you need with an user-interface developed for straightforwardness and organization. In the first, the county agency received a stop - work verification on 4/13. << EMC Verify at the point of employment termination for participants, and for any employment terminated within 60 days of application for applicants. 0000019279 00000 n Verify the exemptions listed below at application time and/or when a change occurs. - Participating regularly in a drug addiction or alcohol treatment and rehabilitation program. 2.7962 2.7525 Td q You may also mail any paperwork to our mailing address listed on this page. Counted TLR months used in another state. /Filter /FlateDecode See 0010.18.06 (Verifying Disability/Incapacity - SNAP). endobj Verifiers love Truework because it's never been easier and more streamlined to verify an employee, learn more here. For all applicants give and verbally review during the interview: Give the forms below to all applicants. DHS 2120-ENG Household Report Form for MFIP/DWPReporting form used by clients to report income, asset and circumstance changes usually on a scheduled basis. This can be obtained by contacting the client's Employment Services Provider. /Tx BMC Each form includes instructions about where and how to turn it in. updates cross-references to 0007.03.02 (Six-Month Reporting) only due to section title changes. /ZaDb 5.0258 Tf If the injury/disability is temporary, new verification will be needed if the injury/disability extends past the anticipated end date. 2.7962 2.7525 Td EMC See 0010.15 (Verification Inconsistent Information). 0000021946 00000 n SERV. We would like to show you a description here but the site won't allow us. CASES, 0022.09 - WHEN TO SWITCH BUDGET CYCLES - CASH, 0022.09.03 - WHEN TO SWITCH BUDGET CYCLES - SNAP, 0022.12 - HOW TO CALC. The verification requirements are as follows: Authorization for release of information about residence and shelter expenses, DHS 2952. eDocs; Change report form, DHS 4794. eDocs Also see 0010.18.01 (Mandatory Verifications - Cash Assistance) for additional MFIP provisions relating to citizenship and immigration status. DHS 7823 Authorization to Obtain Information from AVS - This form allows the Account Validation Service to provide information about your assets for the MA program to Anoka County. 4.9716 TL BENEFIT LEVEL - MFIP/DWP/GA, 0022.12.01 - HOW TO CALCULATE BENEFIT LEVEL - SNAP/MSA/GRH, 0022.12.02 - BEGINNING DATE OF ELIGIBILITY, 0022.15.03 - BUDGETING LUMP SUMS IN A PROSPECTIVE MONTH, 0022.15.06 - BUDGETING LUMP SUMS IN A RETROSPECTIVE MONTH, 0022.18.03 - OVERPAYMENTS RELATING TO SUSPENDED CASES, 0022.21 - INCOME OVERPAYMENT RELATING TO BUDGET CYCLE, 0022.24 - UNCLE HARRY FOOD SUPPORT BENEFITS, 0023.09 - HOUSEHOLD FURNISHINGS AND APPLIANCES, 0024.03 - WHEN BENEFITS ARE PAID - MFIP/DWP, 0024.03.03 - WHEN BENEFITS ARE PAID - SNAP/MSA/GA/GRH, 0024.04.03.03 - BENEFIT DELIVERY METHODS--PROGRAM PROVISIONS, 0024.04.04 - CHANGES IN AUTOMATIC BENEFIT DELIVERY METHOD, 0024.06 - PROVISIONS FOR REPLACING BENEFITS, 0024.06.03 - SITUATIONS REQUIRING SNAP BENEFIT REPLACEMENT, 0024.06.03.03 - REPLACING SNAP STOLEN/LOST BEFORE RECEIPT, 0024.06.03.15 - REPLACING FOOD DESTROYED IN A DISASTER, 0024.06.03.18 - REPLACING DAMAGED SNAP CASH-OUT WARRANTS, 0024.09.01 - PROTECTIVE AND VENDOR PAYMENTS-SNAP/MSA/GA/GRH, 0024.09.09 - DISCONTINUING PROTECTIVE AND VENDOR PAYMENTS, 0024.09.12 - PAYMENTS AFTER CHEMICAL USE ASSESSMENT, 0024.12 - ISSUING AND REPLACING IDENTIFICATION CARDS, 0025.03 - DETERMINING INCORRECT PAYMENT AMOUNTS, 0025.06 - MAINTAINING RECORDS OF INCORRECT PAYMENTS, 0025.09.03 - WHERE TO SEND CORRECTIVE PAYMENTS, 0025.12.03 - OVERPAYMENTS EXEMPT FROM RECOVERY, 0025.12.03.03 - SUSPENDING OR TERMINATING RECOVERY, 0025.12.03.09 - CLAIM COMPROMISE & TERMINATION, 0025.12.06 - REPAYING OVERPAYMENTS - PARTICIPANTS, 0025.12.09 - REPAYING OVERPAYMENTS - NON-PARTICIPANTS, 0025.12.12 - ACTION ON OVERPAYMENTS - TIME LIMITS, 0025.15 - ORDER OF RECOVERY - PARTICIPANTS, 0025.18 - ORDER OF RECOVERY - NON-PARTICIPANTS, 0025.21.03 - OVERPAYMENT REPAYMENT AGREEMENT, 0025.24 - FRAUDULENTLY OBTAINING PUBLIC ASSISTANCE, 0025.24.03 - RECOVERING FRAUDULENTLY OBTAINED ASSISTANCE, 0025.24.06.03 - ADMINISTRATIVE DISQUALIFICATION HEARING, 0025.24.07 - DISQUALIFICATION FOR ILLEGAL USE OF SNAP, 0025.24.08 - SNAP ELECTRONIC DISQUALIFIED RECIPIENT SYSTEM, 0025.30 - FINANCIAL RESPONSIBILITY, PEOPLE NOT IN HOME, 0025.30.03 - CONTRIBUTIONS FROM PARENTS NOT IN HOME. n xD(@, Q ! endstream endobj 439 0 obj <>/Subtype/Form/Type/XObject>>stream <1b285431b6d97f0b3d25c629171a4448>] q (4) Tj in general provisions in the 2nd bullet deletes reference to self-employment deductions and adds to verify self-employment expenses if applicable. DHS 3543 Request for Payment of Long-Term Care ServicesThis form is completed by enrollees who are requesting payment of long-term care services. If the injury/disability is expected to last indefinitely, verification is only needed once. endstream endobj 432 0 obj <>/Subtype/Form/Type/XObject>>stream After completing all three and making an online payment of $250, send the finished documents as attachments to compliance.mdhr@state.mn.us. DHS 3336-ENG Self-Employment Report FormReport used by participants who are self-employed to report income and expenses each month. (4) Tj You must verify that the client is complying with Refugee Employment Services. Verify the following for all programs: Inconsistent information. - A person subject to and complying with any Employment Services requirement for MFIP and/or DWP. Unit Member Information. /ProcSet [/PDF] Other Items to Consider. endstream endobj 421 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xref It can also be used but is not required for collecting information on people added to the Supplemental Nutrition Assistance Program (SNAP) or a Minnesota health care program. H endstream endobj startxref - Refugees receiving the Matching Grant Program. In the first, the county agency received a stop - work verification on 4/13. 1 1 9.04 9.4 re Do not verify earned income of a caregiver under 20 who has verified they are enrolled at least half-time in an approved school. endobj 1300.0170 STOP WORK ORDER. Answer Yes or No to each question. 0 0 9.96 9 re Note: Do not request further verification of income if the unit reports no change in income on their Combined Six-Month Review (DHS-5576) (PDF). endstream endobj 417 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream EMC .x\m|W8p~Z3SlHI`tQ.T$[}62Glp6p6p68eV6a-{. in SNAP deletes all policy about non-mandatory verifications and moves it to 0010.18.02.03 (Non-Mandatory Verifications SNAP) and adds a cross-reference to 0010.18.02.03 (Non-Mandatory Verifications SNAP). Also see 0010.18.01 (Mandatory Verifications - Cash Assistance) for additional MFIP provisions relating to citizenship and immigration status. >> SERVICES SANCTIONS, 0028.30.04.03 - POST 60-MONTH SANCTIONS: 2-PARENT PROVISIONS, 0028.30.06 - SANCTIONS FOR NOT MEETING SNAP WORK RULE, 0028.30.09 - REFUSING OR TERMINATING EMPLOYMENT, 0028.30.12 - SANCTION NOTICE FOR MINOR CAREGIVER, 0028.33 - EMPLOYMENT SERVICES/SNAP E&T NOTICE REQUIREMENTS, 0029.03.06 - FAMILY SUPPORT GRANT PROGRAM, 0029.03.09 - CONSUMER SUPPORT GRANT PROGRAM, 0029.03.18 - RELATIVE CUSTODY ASSISTANCE PROGRAM, 0029.06.03 - SUPPLEMENTAL SECURITY INCOME PROGRAM, 0029.06.06 - RETIREMENT, SURVIVORS AND DISABILITY INSURANCE, 0029.06.21 - UNITED STATES REPATRIATION PROGRAM, 0029.06.24.03 - TRIBAL TANF - MILLE LACS BAND OF OJIBWE, 0029.06.24.06 - TRIBAL TANF - RED LAKE BAND OF CHIPPEWA INDIANS, 0029.07.03 - MINNESOTA STATE FOOD BENEFITS, 0029.07.09 - WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM, 0029.07.12 - COMMODITY SUPPLEMENTAL FOOD PROGRAM, 0029.07.15 FOOD DISTRIBUTION PROGRAM-INDIAN RESERVATION, 0029.20.09 - FAMILY HOMELESS PREVENTION ASSISTANCE, 0029.27 - LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, 0029.31 - CHILD CARE RESOURCE AND REFERRAL, 0030.03.01.01 - INELIGIBLE FOR OTHER CASH PROGRAMS, 0030.03.09 - DETERMINING RCA GROSS INCOME, 0030.03.16 - PROCESSING REPORTED CHANGES - RCA, 0030.03.18 - RCA OVERPAYMENTS AND UNDERPAYMENTS, 0030.12.03 - RCA POST-SECONDARY EDUCATION/TRAINING, 0030.12.06 - RCA EMPLOYMENT SERVICES GOOD CAUSE CLAIMS. It looks like your browser does not have JavaScript enabled. 0000005955 00000 n Disability status may be need to be verified. 0 0 11.04 11.4 re 01. Return this form no . /E 0000027097 WORK VERIFICATION - Page 2. SERVICES/SNAP E&T, 0028.06.12 - WHO IS EXEMPT FROM SNAP WORK REGISTRATION, 0028.09 - ES OVERVIEW/SNAP E&T ORIENTATION, 0028.09.06 - EXEMPTIONS FROM ES OVERVIEW/SNAP E&T ORIENTATION, 0028.18 - GOOD CAUSE FOR NON-COMPLIANCE--MFIP/DWP, 0028.18.01 - MFIP GOOD CAUSE--CAREGIVERS UNDER 20, 0028.21 - GOOD CAUSE NON-COMPLIANCE - SNAP/MSA/GA/GRH, 0028.30 - SANCTIONS FOR FAILURE TO COMPLY - CASH, 0028.30.03 - PRE 60-MONTH TYPE/LENGTH OF ES SANCTIONS, 0028.30.04 - POST 60-MONTH EMPL. - This form is used to request a Certificate of Clearance when the property was transferred using a Transfer on Death Deed. EMC GEN 260 Sponsor Release of Information - This form is used to allow Economic Assistance to communicate with the client's sponsor. W Also see Chapter 8 (Changes in Circumstances) for verifications which may be required when a unit has a change in circumstances. >> 0000021969 00000 n 2.7962 2.7525 Td SERVICES/SNAP E&T, 0028.06.12 - WHO IS EXEMPT FROM SNAP WORK REGISTRATION, 0028.09 - ES OVERVIEW/SNAP E&T ORIENTATION, 0028.09.06 - EXEMPTIONS FROM ES OVERVIEW/SNAP E&T ORIENTATION, 0028.18 - GOOD CAUSE FOR NON-COMPLIANCE--MFIP/DWP, 0028.18.01 - MFIP GOOD CAUSE--CAREGIVERS UNDER 20, 0028.21 - GOOD CAUSE NON-COMPLIANCE - SNAP/MSA/GA/GRH, 0028.30 - SANCTIONS FOR FAILURE TO COMPLY - CASH, 0028.30.03 - PRE 60-MONTH TYPE/LENGTH OF ES SANCTIONS, 0028.30.04 - POST 60-MONTH EMPL. /ZaDb 5.1626 Tf 0000006270 00000 n Removed WB. Verification is needed when a client is injured/incapacitated and the injury cannot be observed. 1 1 7.96 7 re EMC EDAK 0058BEmployment Start and Stop Verification Authorization form allowing release of employment information required for the determination of eligibility for assistance.EDAK 3239Taxi/Limo Driver Income and Expense ReportReport used by participants who are self-employed to report income and expenses each month. EMC RESPONSIBILITIES, 0028.03.01 - COUNTY AND TRIBAL NATION SNAP E&T RESPONSIBILITIES, 0028.03.02 - ES PROVIDER RESPONSIBILITIES - SNAP E&T, 0028.03.03 - EMPLOYMENT SERVICES/SNAP E&T REQUIRED COMPONENTS, 0028.03.06 - DETERMINING SNAP PRINCIPAL WAGE EARNER, 0028.03.09 - REPORTING CHANGES TO JOB COUNSELOR, 0028.06.02 - UNIVERSAL PARTICIPATION PROVISIONS, 0028.06.03 - WHO MUST PARTICIPATE IN EMPL. AE>-l`.X~JpRMcOxr69_vW61# U3U]30 n0 >> > << Stop Work Verification accap.org Details File Format PDF Size: 358 KB Download What Is a Work Verification Form? See 0007.03 (Monthly Reporting - Cash), 0007.03.02 (Six-Month Reporting), 0007.15 (Unscheduled Reporting of Changes - Cash), 0007.15.03 (Unscheduled Reporting of Changes - SNAP), 0009 (Recertification). Tips on how to complete the Stop working form online: To get started on the form, use the Fill camp; Sign Online button or tick the preview image of the document. 0 0 9.96 9 re EMC See 0010.18.30 (Verifying Student Income and Expenses). The participant's last day of employment was 01/13 and received the last check 1/13. /ExtGState << See 0010.18 (Mandatory Verifications) for mandatory verifications that apply to all programs. See 0017.15.15 (Income of Minor Child/Caregiver Under 20). endstream endobj 441 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream RESPONSIBILITIES, 0028.03.01 - COUNTY AND TRIBAL NATION SNAP E&T RESPONSIBILITIES, 0028.03.02 - ES PROVIDER RESPONSIBILITIES - SNAP E&T, 0028.03.03 - EMPLOYMENT SERVICES/SNAP E&T REQUIRED COMPONENTS, 0028.03.06 - DETERMINING SNAP PRINCIPAL WAGE EARNER, 0028.03.09 - REPORTING CHANGES TO JOB COUNSELOR, 0028.06.02 - UNIVERSAL PARTICIPATION PROVISIONS, 0028.06.03 - WHO MUST PARTICIPATE IN EMPL. Email us at compliance.mdhr@state.mn.us or call 651-539-1095. H$ 2) Affirmative Action Plan. endstream endobj 414 0 obj <>/Subtype/Form/Type/XObject>>stream Verify school attendance if applicable to the SNAP case. SNAP: ]J}5vZZc}s?W0\(+X 5 0 obj (4) Tj endstream endobj 426 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream 4.9716 TL 7V,%2EPEr_:b9~*x8|s.R&"WN,I# /|!(C4YhB##v4 4kec$%:E>E7 ,)`) %bi,rKh,a% yi z.3~@m&wWs3)/Rn%p See 0010.18.06 (Verifying Disability/Incapacity SNAP). endstream endobj 429 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream For more information about running SAVE, see 0010.18.11.03 (Systematic Alien Verification (SAVE)). /Tx BMC 2023 Minnesota Department of Human Services, 0010.18.03 (Verifying Social Security Numbers), 0010.18.11.03 (Systematic Alien Verification (SAVE)), 0010.18.11 (Verifying Citizenship and Immigration Status), 0011.03.27 (Undocumented and Non-Immigrant People). Questions? in SNAP in the 2nd paragraph in the 1st bullet adds and deletes information about allowing housing costs as a deduction for applications and recertifications. Verification of participation is required every 12 months or when there is a change in the clients participation, whichever comes first. Employment Verification Form 1/ . /F4 12 0 R endstream endobj 434 0 obj <>/Subtype/Form/Type/XObject>>stream Find the Stop Work Form Hennepin County you require. in SNAP adds that identity may be verified through a document, collateral contact or SOLQ-I. /F7 23 0 R ET endobj endstream endobj 410 0 obj <>/Metadata 16 0 R/Pages 407 0 R/StructTreeRoot 47 0 R/Type/Catalog/ViewerPreferences<>>> endobj 411 0 obj <>/MediaBox[0 0 612 792]/Parent 407 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 412 0 obj <>/Subtype/Form/Type/XObject>>stream DHS 2114 Request for Medical OpinionMedical consent form allowing release of medical information required for the determination of eligibility for human services programs. BT Select the link to download, print or save to your computer. This form reports the verified hours and is adapted for use by unlicensed individuals registered to perform electrical work. Sign and date the form on or after: 6. iin SNAP adds to document in MAXIS CASE/NOTEs the identity information obtained from SOLQ as a "Verify MN interface" for clarity. in SNAP under sub-heading ABAWDs in the 3rd bullet adds and deletes language and cross-references for clarity. 0000024995 00000 n Follow the step-by-step instructions below to design your hennepin county household report form: Select the document you want to sign and click Upload. This change was EFFECTIVE 02/01/16. in SNAP deletes to verify disability exemption from work registration. MCRE #: Employer: I grant permission to the Employer listed to provide and verify the information requested on this form. GEN 262 Special Diets - This form is used to provide information regarding diets prescribed by a doctor. 0000022117 00000 n SNAP Application Packet - This packet provides SNAP program information to people applying for SNAP benefits. %PDF-1.5 in SNAP adds in the last paragraph that unless questionable, a verbal statement from the client meets the school attendance verification requirement. Social Security numbers of all people applying for assistance. This program was suspended 12/1/14. If the form you need is not on this list, you can visit the Minnesota Department of Human Services website where you can search eDocs to find the form you need. /Parent 1 0 R The advanced tools of the editor will direct you through the editable PDF template. Click on the form to complete and print. The participant's last day of employment was 01/13 and received the last check 1/13. ET MSA, GA, GRH: The verification must be in existing files. 1. 0 0 9.96 9 re EDAK 0220Giving Permission for Someone to Act on My Behalf (Authorized Representative)Authorization form giving permission for someone to act on behalf of the client.EDAK 0031AInformed ConsentAuthorization form allowing release of information required for the determination of eligibility for assistance. /T 0000025941 For people in the Safe At Home Program, see 0029.29 (Safe At Home Program). Residency in Minnesota, unless verification cannot be obtained because the people are homeless, migrant farmworkers, or newly arrived in Minnesota. Immigration status, ONLY if the applicant reports a non-citizen status, including non-citizens, naturalized and derived citizen status. 0026.12.12 - WHEN NOT TO GIVE ADDITIONAL NOTICE, 0026.12.15 - WHEN TO GIVE RETROACTIVE OR NO NOTICE, 0026.12.21 - VOLUNTARY REQUEST FOR CLOSURE NOTICE, 0026.15 - NOTICE OF DENIAL, TERMINATION, OR SUSPENSION, 0026.21 - NOTICE OF CHANGE IN ISSUANCE METHOD, 0026.24 - NOTICE OF RELATIVE CONTRIBUTION. BT Date and reason of employment termination, and date last paid. 2.8541 2.7388 Td Show details How it works Open the mn employment verification and follow the instructions Easily sign the minnesota employment verification form with your finger Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. Employment & Economic Assistance651-554-5611. Anoka County is now accepting a variety of paperwork at two county locations and only vehicle tab renewals at two others. CC0100 Plumbing Work Experience Form. Decide on what kind of signature to create. W DHS 3543 Request for Payment of Long Term Care Services - This form is for people currently open on Medical Assistance (MA) that need waiver services, assisted living services, or nursing home services paid. Fill the blank areas; involved parties names, addresses and phone numbers etc. 0000025773 00000 n >> 5. endstream endobj 427 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream DHS 3418-ENG Minnesota Health Care Programs Renewal Form 12/2005 Termination of Employment Verification TO: RE: . /Tx BMC Below is a list of frequently requested Human services forms. /ZaDb 5.1626 Tf Minnesota Employment Verification Form Use a minnesota employment verification template to make your document workflow more streamlined. startxref FAX: 612-321-3488. /F9 29 0 R GEN 375 Voicemail Release - This form is used to allow Economic Assistance to leave a detailed message on a voicemail system for a specific phone number. Residency in Minnesota, unless verification cannot be obtained because the people are homeless, migrant farmworkers, or newly arrived in Minnesota. 0.749023 g _ !