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Wisconsin Department of Health Services

 

 

Human Services Reporting System (HSRS)

The Human Services Reporting System (HSRS) is a data collection system for social service and mental health clients, the services they receive, and the funds expended. This information meets both state and federal reporting requirements.

Form Number

Form Name
F-20031 (PDF, 24KB) Core Human Services Reporting System
F-20031 (Word, 143KB) Core Human Services Reporting System
F-20031A (PDF, 42KB) Core Human Services Reporting System, Multiple Clients
F-00024 (Excel, 27KB) Core Summary Report
F-20458 (PDF, 43KB) HSRS Alcohol And Other Drug Abuse Module
F-20458 (Word, 259KB) HSRS Alcohol And Other Drug Abuse Module
F-20468 (PDF, 36KB) HSRS Family Support Program Module
F-20468 (Word, 268KB) HSRS Family Support Program Module
F-20855 (PDF, 23KB) HSRS Mental Health Module 
F-20855 (Word, 159KB) HSRS Mental Health Module
F-20942A (PDF, 20KB) Total Expenses All Sources By Target Group And Standard Program Cluster
F-22018 (PDF, 26KB) HSRS Long Term Support Module
F-22018 (Word, 225KB) HSRS Long Term Support Module 
F-22540A (Excel, 56KB) HSRR Expenditures by Revenue Source for Human Services Programs

Forms may be obtained by either clicking on the desired form or by completing a Forms/Publications Requisition (DMT-25) and mailing it to:

Lois Mulder
Forms/Records Manager
1 West Wilson Street, Room 672
Madison, WI 53707-7851
(608) 266-8502 dhfsfmddepde@wisconsin.gov

The SOS  Helpdesk is operated for HSRS questions and /or problems:
Hours: 8:00-11:30 a.m. and 12:30-4:00 p.m.
Telephone: (608) 266-9198
Fax: (608) 267-2437

DHSSOSHelp@wisconsin.gov

You may call at other times and leave a message.

Last Revised: March 13, 2009