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  3. Human Services / Social Services
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  6. Adult Foster Care
  7. Adult Foster Care Licensing
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Forms

Adult Foster Care (AFC) Licensing Forms

  • Family Application
  • Workers' Compensation Certification of Compliance
  • Home Safety Checklist for AFC

 

Community Residential Setting (CRS) Licensing Forms

  • Corporate Application
  • Workers' Compensation Certification of Compliance
  • Home Safety Checklist for CRS
  • Licensing Checklist for CRS

 

DHS Sample Forms

 

  • AFC Program Plan
  • Individual Resident Placement Agreement (IRPA)
  • Individual Abuse Prevention Plan (IAPP)
  • Adult Foster Care (AFC) and Community Residential Setting (CRS) Program Abuse Prevention Plan (PAPP) or Program Abuse Prevention Plan (PAPP)
  • Additional Sample Policies and Forms for 245D Licensed Programs
       

Contact Us

  1. Licensing (Child Care, Foster Care)

    Physical Address
    410 S. Fifth St.
    Mankato, MN 56001

    Mailing Address
    PO Box 3526
    Mankato, MN 56002-3526

    Phone: : (507) 304-4273
    Fax: : (507) 304-4387

    Blue Earth County Government Center
     
     Hours

    8:00 am - 5:00 pm

    Monday - Friday 


    Directory

  1. How To Become Licensed
  2. Forms
  3. Training Resources
  4. Report a Concern or Complaint
  5. Licensing Contacts
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Contact Us

  1. Blue Earth County
    204 S. 5th Street
    Mankato, MN 56001
    Submit a Question or Comment

    More contact info »

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  1. Site Map
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