Fill in Your Minnesota R 20 Form Edit Form Now

Fill in Your Minnesota R 20 Form

The Minnesota R 20 form is an application for approval and registration as a Qualified Rehabilitation Consultant Intern. This form is essential for individuals seeking to work under the supervision of a Qualified Rehabilitation Consultant in Minnesota. For those ready to begin the process, fill out the form by clicking the button below.

Edit Form Now
Article Guide

The Minnesota R 20 form serves as a crucial application for individuals seeking approval and registration as Qualified Rehabilitation Consultant Interns. This form, provided by the Minnesota Department of Labor and Industry, collects essential personal and educational information from applicants. It requires details such as the applicant's name, address, and contact numbers, as well as information about their prospective employer. Applicants must disclose their professional licensure status and provide documentation of any relevant certifications. The form also emphasizes the importance of a supervision plan, which must be attached by the supervising Qualified Rehabilitation Consultant. Additionally, applicants are asked about their language skills and previous registration attempts, ensuring a comprehensive overview of their qualifications. A fee of $110 is required, which includes a surcharge, and all application materials must be sent to the department's Financial Services Section. By completing the Minnesota R 20 form, individuals take a significant step toward their career in rehabilitation consulting, aligning with state regulations and standards.

Important Facts about Minnesota R 20

  1. What is the Minnesota R 20 form?

    The Minnesota R 20 form is an application for approval and registration as a Qualified Rehabilitation Consultant Intern. It is required for individuals seeking to work under the supervision of a Qualified Rehabilitation Consultant (QRC) in Minnesota.

  2. Who needs to fill out the R 20 form?

    Individuals who wish to become Qualified Rehabilitation Consultant Interns must complete the R 20 form. This includes those who hold relevant professional licensure or certification and want to work in the field of rehabilitation consulting.

  3. What information is required on the form?

    The form requires personal data such as your name, address, and contact information. You must also provide details about your education, employment history, and any relevant certifications or licenses. Additionally, a plan of supervision from your QRC supervisor is needed.

  4. Is there a fee associated with the R 20 form?

    Yes, there is a fee of $110.00 that must be submitted with the application. This fee is payable by check or money order to the Commissioner of the Department of Labor and Industry.

  5. Where should I send the completed form?

    Send the completed R 20 form, along with all supporting documents and the application fee, to the Financial Services Section of the Minnesota Department of Labor and Industry at:

    443 Lafayette Road North
    St. Paul, MN 55155

  6. What if I have previously applied for registration?

    If you have applied for registration as a QRC/Intern or a Registered Rehabilitation Vendor in Minnesota in the past, you must indicate this on the form and provide the dates of your previous applications.

  7. Do I need to provide transcripts?

    Yes, you must attach official transcripts of all pertinent postsecondary education. This documentation is essential for verifying your educational qualifications.

  8. What if I speak a foreign language?

    If you speak or write any foreign language, you should indicate this on the form. Include the name of the language and the number of years you have been using it. This information can be beneficial in your role as a consultant.

  9. What happens if I change my employment status?

    You are required to notify the Workers’ Compensation Division of any changes in your employment status. This includes informing all parties involved in cases where you are the assigned Qualified Rehabilitation Consultant Intern.

  10. Can I get assistance with the form?

    If you need help with the R 20 form, you can contact the Minnesota Department of Labor and Industry at (651) 284-5459 or 1-800-342-5354. They can provide assistance and answer any questions you may have about the application process.

More PDF Forms

Key takeaways

Filling out the Minnesota R 20 form is a crucial step for those seeking to become a Qualified Rehabilitation Consultant Intern. Here are some key takeaways to keep in mind:

  • Personal Information is Key: Ensure that all personal data, including your name, address, and contact information, is accurately filled out. This information is essential for processing your application.
  • Licenses and Certifications Matter: If you hold any professional licenses or certifications, make sure to indicate them on the form. Attach copies of these documents to support your application.
  • Application Fee: A fee of $110.00 is required, which includes a surcharge. Payment should be made via check or money order, payable to the Commissioner of the Department of Labor and Industry.
  • Supervision Details: Identify the Qualified Rehabilitation Consultant (QRC) under whose supervision you will work. This is a vital component of your application and must be clearly stated.
  • Employment History: Provide a detailed account of your work history, starting from your most recent job. This information helps demonstrate your qualifications and experience in the field.

Following these guidelines will help streamline the application process and increase your chances of a successful registration. Always double-check your form for completeness and accuracy before submission.

Common mistakes

  1. Incomplete Personal Information: Failing to provide all required personal data, such as name, address, and contact numbers, can delay the processing of the application.

  2. Missing Certifications: Not attaching copies of professional licenses or certifications when indicated can result in rejection of the application.

  3. Omitting Employment History: Not detailing work history or leaving out previous employers can lead to a lack of clarity about qualifications.

  4. Incorrect Payment: Submitting an incorrect fee amount or using an improper payment method may cause processing issues.

  5. Neglecting to Sign: Forgetting to sign the application or not providing the required notary signature can invalidate the submission.

  6. Ignoring Language Proficiency: Not indicating foreign language skills or the ability to communicate in sign language can overlook valuable qualifications.

  7. Failure to Update Employment Status: Not notifying the Department of any changes in employment status after submission can lead to complications in registration.