Forms and Applications

Birth and death certificates and records

• How to obtain a birth or death certificate or non-certified copy of a record
• Birth records after an adoption
• Changing (amending) a birth record
• Minnesota Birth Record Application for representatives of the Minnesota Dept. of Human Services (PDF: 118.7KB/1 page). (Word file: 43KB/1 page).
  

  See also > Marriage certificates and divorce decrees
  See also > Minnesota Father's Adoption Registry

Complaint Forms

• HMO Complaint Forms
• External Review Form

Drinking Water Revolving Fund

• Minnesota Drinking Water Revolving Fund Environmental Review

Father's Adoption Registry

• Registration Instructions
• Search Request Form
• Search Request Instructions

  See also > About Minnesota Father's Adoption Registry

Grants and loans

• Grant and Loan Information
  Listing of funding opportunities.
• Minnesota State Register Attention: Non-MDH link

Health Professional Loan Forgiveness and Repayment

• Health Professional Loan Repayment Information
• Guidelines for the Nurses Who Practice in a Nursing Home or an ICFMR Loan Forgiveness Program
• Guidelines for the Rural Midlevel Practitioner Loan Forgiveness Program
• Guidelines for the Urban Physician Loan Forgiveness Program
• Health Professional Recruitment and Assistance Information
• Health Professional Shortage Areas and Medically Underserved Areas

j-1 Visa Waiver

• J-1 Visa Waiver Review and Recommendation Process for the State of Minnesota

Job application

• State of Minnesota Job Application Attention: Non-MDH link

  See also > Jobs at the Minnesota Department of Health

MERC Trust Fund

• MERC Trust Fund Application

Misc. Licenses and Certifications

• List of licenses and permits managed by the Minnesota Department of Health Attention: Non-MDH link
• Alcohol and Drug Counselor Licensing
• Environmental Certification Programs, Categories and Analytes
• Food Manager Certification
• Health Care Licensure and Registration Forms, Statutes, Rules and Related Documents
• Laboratory Accreditation
• Water Operator Certification
• Well Contractor Licenses and Registration

Misc. Requests for Information or Publications

• Request for Lyme Disease Materials
• Facility Manual for Case Mix Classification (PDF: 1.24MB/85 pages)
• Model Pesticide Notices for Schools
• Asthma Action Plan

Reporting Forms

• Report of Induced Abortion
• Reporting an infectious disease
• Well Disclosure Certificate form (PDF: 75KB/3 pages)

Temporary Registration of Radioactive Materials

• Temporary Registration of Radioactive Materials

Training and Workshops

• Children and Teen Checkups workshop schedule
• Denver II Workshop Schedule
• Hearing and Vision Screening, Level I and Tympanometry Otoscopy Workshop Schedules
• Managing Asthma in Minnesota Schools: Manual and Training
• Nursing Child Assessment Satellite Training Brochure

Wells/Borings

• Well Disclosure Certificate form (PDF: 75KB/3 pages)
• Well Contractor Licenses and Registration

Other

• [Non] Employee Expense Report Form- MAPS Accounting Component - for non-MDH employees (64KB/1 page). Excel file: 84.5KB/1 page).
• Forms for keeping track of immunizations

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