The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer.
Forms & Publications
Forms and Publications
-
-
Forms
- Assistance Application (MDHHS-1171)
- Refugee Family Self-Sufficiency Plan
- Earned Income Tax Credit Temporary Assistance for Needy Families (TANF) - DHS-3043
- Asistencia Federal Temporal a Familias Necesitadas (TANF) Determinación de Elegibilidad - DHS-3043-SP
- Retroactive Medicaid Application - DHS-3243
- Solicitud Para Medicaid Retroactivo - DHS-3243-SP
- Bridge Card ATM List
- Bridge Card Farmers Market list
-
Cash Assistance
-
Publications
- MI Bridges: Apply & Manage Your Case Online - DHS Pub-37
- Reporting Changes When, How & What to Report - DHS-Pub-280
- Reporting Changes When, How & What to Report (Spanish) - DHS-Pub-280-SP
- Understanding Child Support: A Handbook for Parents - DHS-Pub-748
- Lo Que Cada Padre Debe Saber Sobre Estableciendo la Paternidad - DHS-Pub-780-SP
- What Every Parent Should Know About Establishing Paternity - DHS-Pub-780
- MDHHS Can Help with Temporary Assistance - DHS Pub-783
- MDHHS Can Help with Temporary Assistance - (Spanish) - DHS Pub-783-SP