MNbenefits to MAXIS Integration Pilot Interest Form

Thank you for your interest in serving as a pilot partner for the MNbenefits to MAXIS integration pilot. Pilot counties and Tribal Nations will be critical partners in the design, testing, refinement, and launch of the new worker interface, which is intended to reduce manual data entry and improve the worker user experience.

This form is the official request for consideration as a pilot partner. Submission of this form indicates that your agency has completed any internal discussions, approvals, or leadership authorization necessary to participate in the pilot if selected. 

The information collected through this form will help project leaders identify approximately 4–7 pilot partners that reflect a diverse range of operational contexts, geographic areas, staffing structures, and program administration approaches. Selecting a diverse group of pilot partners will help ensure the new interface is tested effectively across a variety of real-world environments. 

Participation as a pilot partner will require ongoing collaboration throughout the pilot period, including the discovery process, engagement in testing activities, feedback sessions, training, issue identification, and implementation planning. 

Please submit only one survey per county or Tribal Nation and complete all sections of the form as thoroughly as possible. Additional follow-up conversations may occur as part of the pilot partner selection process.