Forms and Materials
Grantee forms and materials.
- Bank Change Request Form (PDF: 100KB/2 pgs).
This is the link to the Direct Deposit Authorization Electronic Funds Transfer (EFT) Bank Change Request form. All grantees are currently receiving their state reimbursements via EFT. If you want to notify the state that you are changing the financial institution to which you want your reimbursement deposited, use this form.
- Baby Cry Cards
"It's not easy taking care of a baby. Babies can be fussy and cry a lot." is the message of these colorful 5.5" x 8.5" cards. This Shaken Baby Syndrome Prevention resource is available in Hmong, Somali and Spanish. The English version is available by contacting Jane Swenson, Midwest Children's Resource Center, Suite 401, Garden View Building, 347 N. Smith Avenue, St. Paul, MN 55102, phone: 651-201-6703, fax: 651-220-6770.
- Woman's Right To Know Materials
The Women's Right to Know booklet "If you are pregnant: Information on fetal development, abortion and alternatives" is a valuable resource for Positive Alternatives grantees. It contains the Commissioner of Health information referred to in the Positive Alternatives statute. The booklet is available in English and Spanish.
- Smoking Tear Sheets
A tool for prenatal care providers to use when offering support and advice to pregnant women to encourage smoking cessation or reduction. This 2 page guide lists "Keys for Quitting" and steps to set up "Your Quit Plan".
- Developmental Wheel
The Developmental Wheel describes development children have by the time they reach certain ages (birth to five), as well as related nutrition, hearing, speech, language and vision information. Copies of the Developmental Wheels are available free to Minnesota families and organizations through their county´s public health department. The Minnesota Department of Health is no longer distributing the Developmental Wheel. Contact the Follow Along Program Coordinator in your county´s public health department to request copies of the wheel in English, Spanish, Somali, or Hmong. The content of the Developmental Wheel is available on the MDH website of CYSHN. Click on the underlined words "Developmental Wheel" in the title of this resource to go to that site.
- Infant Safe Sleep Education Materials
Upated parent education materials are now available. Click on this link to view materials and order by calling the supplier directly.