245d pre application worksheet 2025

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The document is a 245D Pre-Application Worksheet from the Minnesota Department of Human Services, outlining the requirements for applying for a Home and Community-Based Services license. It details the necessary information about the business entity or individual seeking the license, including ownership structure, program services, tax identification, controlling individuals, and compliance officers. The worksheet serves as a preparatory tool to streamline the online application process by gathering essential information and documentation.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (212 Votes)
2018	4 Satisfied (35 Votes)
2013	4.1 Satisfied (46 Votes)

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