MCIT Coverage Acknowledgment Record

Your submission of the below form is an official record. Minnesota Counties Intergovernmental Trust (MCIT) county members’ primary contact or their designees are required to return to MCIT the Coverage Acknowledgement Record each year.

The 2027 Coverage Acknowledgment Record is to be completed after receiving the 2027 MCIT Coverage Document, which is mailed to members by Dec. 31, 2026, and attending or viewing the “2027 MCIT Annual Update” webinar.

The 2027 Coverage Acknowledgment Record will be posted Jan. 21, 2027.