CDCS Forms & Guides

CDCS Guidelines and General Plan Documents/Samples                                                                                                                        Note: For documents that do not automatically open, you may need to download and save them to your desktop and open them from your desktop.

  1. Anoka County CDCS Guidelines and Expenditures 7.2023
  2. What To Expect on CDCS "A Year in the Life..."
  3. Expenses With Special Considerations
  4. Common Acronyms and Definitions
  5. CDCS PLAN (Edoc DHS 6532)- Blank (PDF)
  6. CDCS Plan (Edoc DHS 6532) (Sample)
  7. Health and Safety Plan - Blank (PDF)
  8. CDCS Acknowledgement - Blank (policy regarding job duties/qualifications)
  9. CDCS Job Description - Blank
  10. CSP Addition/Addendum GENERAL - Blank(PDF)
  11. CSP Addition/Addendum - General (Sample)
  12. CSP Addition/Addendum PPOM Spouse - Blank (pdf) (to increase hours)
  13. CDCS PPOM Addition/Addendum - General (Sample)
  14. Alternative or Specialized Therapy/Training Request - Blank (PDF)
  15. Alternative or Specialized Therapy/Training Request (Sample)
  16. Alternative or Specialized Diet Request - Blank (PDF)
  17. Alternative or Specialized Diet Request PDF (Sample)
  18. Computer/Tablet Request - Blank (PDF)
  19. Anoka County Authorization to Release Information - Blank (PDF)
  20. Adapted Swim Request Form - Blank
  21. Alternative Provider Billing (APB) Form - Blank (for licensed services)

Financial Management Service Resources

  1. FMS Agencies at a Glance
  2. Link to FMS Provider Information

Writing the CDCS Plan/Support Planner Resources/Tips

  1. Support Planner Directory 9.7.23
  2. Writing Goals and Outcomes
  3. CDCS Addition Form-Paying PPOM or Spouse.pdf (Writing Tips)
  4. CDCS Job Description - Personal Assistance Staff (Writing Tips)
  5. CDCS Job Description PPOM Spouse (Writing Tips)
  6. Computer/Tablet Request (Writing Tips)
  7. Employment Services (E1MN) AND CDCS Job Description
  8. Determining Eligibility for Life Skills College Programs Through CDCS Checklist
  9. SSI Benefits and CDCS Letter (for minors)

Legislative Updates

  1. 2021 - 2022 Legislative Updates Grid

Multiples and Shared Services Documents/Samples

  1. Shared Services Checklist
  2. CDCS Shared Schedule and Tool
  3. Shared Services Agreement - E-Doc DHS 6633D (Writing Tips)

DHS Fillable Forms - Go to EDocs and insert # of form.

  • CDCS Community Support Plan (DHS 6532)
  • CDCS Shared Services Agreement (DHS 6633D)
  • Monitoring Technology Approval (DHS 6789)
  • Monitoring Technology Approval Request (cameras in bedroom) (DHS 6789A)
  • Participant Consent for Use of Monitoring Technology (6789B)
  • Affected Person For Use of Monitoring Technology (6789C)