Community Services Directory

Community Services Directory

CSD Change Type*

Add

Update

Delete

Name

First Name*

Last Name*

Address 1

Address 2

City

State

Select

Zip

County

Select or enter value

Office Phone

Phone

Mobile Phone

Phone

Fax

Phone

Other Phone

Phone

Email

Title

Supervisor

District (DOC ONLY)

Select

Memo -anything specific we need to know about this

Email Address of Submitter*

If you would like an extract from the director of your entire agency for mass updates, please contact co-records.doc@state.mn.us

Send me a copy of my responses

Powered by