Assistance Application (DHS-1171)
Once you've created your MI Bridges account, you can view your case information, upcoming appointments, and make changes to your case. No waiting in line, no traveling to your local MDHHS office - it's all online from the convenience of your own home or public computer!
If you do not have computer access or prefer to complete a paper application and take it in to your local MDHHS office, use the link below to get started.
The DHS-1171 is a packet containing an application for assistance, an information booklet and a filing form. The entire assistance application must be printed, completed and taken to the MDHHS office closest to you.
NOTE: The Assistance Application - DHS-1171 no longer contains any information regarding Medicaid and cannot be used to apply for healthcare coverage. Use the Application for Health Coverage & Help Paying Costs - DCH-1426 to apply for healthcare coverage.
DHS 1171 Information Booklet, Assistance Application and Filing Form
DHS 1171 Information Booklet, Assistance Application and Filing Form (ARABIC)
DHS 1171-SP Information Booklet, Assistance Application and Filing Form (SPANISH)