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Numeric List - HFS

This numeric list contains forms that are available from this site.  A PDF - Fillable form can be filled in using your computer and then printed; see About PDF Forms.   Microsoft Word - Fillable or Excel forms, can be filled in, saved, and transmitted electronically.  You must have access to Microsoft Office 97, or a more recent version, to use these forms.

Note:  Wisconsin administrative codes with an HFS prefix can be obtained from the Revisor of Statutes Web site or by contacting one of the DHS forms/publications managers.
Division Prefix / Old Form Number Assigned Form Number Form Title Form Type Other Location Language
HFS-0002 F-82002 Denial of Government Access To Health Care Records PDF None English
HFS-0003 F-82003 Denial of Researcher Access To Health Care Records PDF None English
HFS-0006 F-82006 Employment Application / Applicant Registration Supplement word None English
HFS-0009 F-82009 Confidential Information Release Authorization - Generic PDF None English
HFS-0009 F-82009 Confidential Information Release Authorization - Generic  word None English
HFS-0009AA F-82009AA Confidential Information Release Authorization - Katie Beckett Program Paper Katie Beckett Program English
HFS-0009H F-82009H Confidential Information Release Authorization - Hmong PDF None Hmong
HFS-0009I F-82009I Confidential Information Release Authorization - Post Adoption Service Centers  (Version Date:  6/03) PDF None English
HFS-0009I F-82009I Confidential Information Release Authorization - DCFS / Adoption word None English
HFS-0009II F-82009II Confidential Information Release Authorization - WIC (Version Date: 05/03) PDF Forms Center English
HFS-0009IIS F-82009IIS Confidential Information Release Authorization - WIC - Spanish (Version Date: 05/03) PDF Forms Center Spanish
HFS-0009S F-82009S Confidential Information Release Authorization - Generic - Spanish PDF None Spanish
HFS-0009Y F-82009Y Confidential Information Release Authorization - WMHI word None English
HFS-0018C F-82018C Work Time / Absence Record 2010 Excel Forms Center English
HFS-0018C F-82018C Work Time / Absence Record 2010 Excel - Print Forms Center English
HFS-0021 F-82021 Researcher's Request for Confidential Records or Human Subjects Research PDF None English
HFS-0064 F-82064 Background Information Disclosure and Instructions PDF Forms Center English
HFS-0064 F-82064 Background Information Disclosure and Instructions word Forms Center English
HFS-0064H F-82064H Background Information Disclosure and Instructions - Hmong. (DAIM NTAWV QHIA MOJ KAB SIM TXOG KEEB KWM/LUS QHIA UA TXOG DAIM NTAWV QHIA TAWM TXOG KEEB KWM) PDF None Hmong
HFS-0064S F-82064S Background Information Disclosure and Instructions - Spanish PDF None Spanish
HFS-0069 F-82069 Background Info Disclosure Appendix PDF None English
HFS-0069A F-82069A Background Information Disclosure Appendix and Instructions PDF None English

Last Revised:  July 10, 2009