​The Debt Referral Questionnaire is a form a referring agency completes for each debt type before referring debt to the Minnesota Department of Revenue. The form requests information about the agency, debt type, payment application, and method of referral.

All referring agencies, except for the Minnesota Judicial Branch, must send a notice to debtor by U.S. mail or personal delivery at the debtor’s last known address at least 20 days before referring a debt to the Minnesota Department of Revenue for collection. The notice must include:

• The nature and amount of the debt
• To whom the debt is owed
• Actions we may take to collect the debt
• Notification of our collection costs
• Their rights to ask for a cancellation of collection costs
• Notification that interest-bearing debts continue to accrue interest
• Revoking professional licenses

The following reports are available in your e-Services account:

• Collection Cost Removals and Other Adjustments
  • Debts impacted by an adjustment, such as cancelation of collection costs.
• Inventory Report (monthly) by Referred Date or Debtor Name
  • Debts we are currently collecting for your agency.
• Payment Detail Report (PDR)
  • Summary of events on debtor accounts and payment details for transactions affecting debts during the report cycle.
• Rejected Transaction Report
  • A list of requests, such as referrals, payments, and recalls an agency submits and we reject.
• Returned Debt Report
  • Debts you recalled or we returned to you.

If you have questions regarding these reports, contact the Client Relations program.

​The Referring Agency Service Level Agreement outlines the use and participation in the Client Relations program. It is an agreement between the agency and the Minnesota Department of Revenue. 

Your agency must complete a new Service Level Agreement to be able to refer debts for collection.  

This agreement replaces any agreement, either formal or informal, that you currently have on file with us.  

Return the agreement by:

The authorized agent should sign the agreement.

Who is my authorized agent?

The authorized agent is someone within your agency who may:

• Have authority to make decisions or sign contracts on the agency's behalf
• Supervisor employees who refers debts
• Be responsible for resolving issues related to the agency's administration or participation in the Client Relations program.

The authorized agent who signed our agreement is no longer with our agency.
Is our agreement still in place?

Yes, your agreement is still in place. You should contact the Client Relations program with the new administrator's information so we can update our records.