Online Forms


Itasca County Health and Human Services Housing Support Program Provider Application - Online Eform or Printable

Itasca County Health and Human Services Housing Support Agreement Check List - printable

Itasca County Health and Human Services Provider Checklist - printable

Itasca County Housing Support Provider Compliance Agreement - Online Eform or Printable

Housing Support Vender Profile Form - Online Eform or Printable  (UPDATE June 1st every year)

Instructions:  Housing Support Vender Profile Form

MN DHS SFY 2023 Housing Support Agreement - Group Settings - Online Eform or Printable  (UPDATE June 1st every year) 

MN DHS SFY 2023 Housing Support Agreement - Community Settings - Online Eform or Printable  (UPDATE June 1st every year) 

Housing Support Billing Form (GRH Billing) - Online Eform or Printable

Habitability Inspection Form Group Residential Housing - Supportive Housing Setting

MN-DHS Professional Statement of Need Form