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 officer designation. The worksheet aims to assist applicants in gathering required information to streamline the online application process.

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