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Official DHS Forms Library

Forms produced by the Wisconsin Department of Health Services are available electronically and/or for paper order. Review the "Available to Order" column below to ensure availability in paper format. If the document is available to order in a paper version, there will be a "Yes" with a link to ordering instructions. When you are searching for a document, enter the number or a portion of the title in the search box below. To narrow your search results even more, place quotation marks (" ") around search terms.

If you are looking for an informative document, visit our Informative Documents and Publications Library. If you need a file in another file format or can't find what you are looking for here, reach out to the Digital Communications Team at dhsfmorder@dhs.wisconsin.gov. You can typically expect a response within 1-2 business days.

Assigned Number Title Division Language Release Date File Type Available to Order
F-44819 Farmers Market Nutrition Program (FMNP) - Application for Farm Stand DPH English 01/2024 PDF No
F-44800 Farmers Market Nutrition Program (FMNP) - Application for Farmers' Market Managers DPH English 03/2023 PDF No
F-44746 Farmers Market Nutrition Program (FMNP) - Site Observation Worksheet DPH English 05/2022 PDF No
F-40053 Farmers' Market Nutrition Program (FMNP) - Verification of Participation in Farmer Training DPH English 02/2024 PDF No
F-03232 FDA Undercover Youth Inspector - Screening Application DPH English 10/2023 HTML No
F-02656 Federally Qualified Health Center Cost Report DMS English 01/2021 Excel No
F-02758 Federally Qualified Health Center Outstationed Enrollment Survey OIG English 01/2021 Excel No
F-02758A Federally Qualified Health Center Outstationed Enrollment Survey, Instructions OIG English 01/2021 PDF No
F-62588 Feeding Assistant Training Program Application DQA English 06/2024 Word No
F-62692 Feeding Assistant Training Program Instructor Application DQA English 06/2024 Word No
F-03119 Fentanyl Test Strip Direct Program Application DCTS English 01/2023 HTML No
F-00543A File Review Checklist DMS English 01/2018 Word No
F-00543A File Review Checklist DMS English 01/2018 PDF No
F-02050A Final Expenditure Report for Programs Requiring 25% Funding Match DCTS English 03/2023 Excel No
F-02588 Financial Exploitation Tracking for Counties DPH English 04/2021 Excel No
F-80130 Financial Information DES English 08/2011 PDF No
F-80130H Financial Information, Hmong DES Hmong 08/2011 PDF No
F-80130S Financial Information, Spanish DES Spanish 08/2011 Word No
F-80130S Financial Information, Spanish DES Spanish 08/2011 PDF No
F-80130 Financial Information  DES English 08/2011 Word No
F-00407 Financial Records Request DMS English 06/2023 PDF No
F-47478 First Responder / Emergency Medical Technician Application Electronic Addition to a Roster DPH English 05/2004 HTML No
F-47477 First Responder / Emergency Medical Technician Certificate / License DPH English 02/2006 HTML No
F-47181 First Responder Certification Card DPH English 08/2010 HTML No
F-47463A First Responder Operational Plan Components DPH English 01/2012 PDF No
F-02813 First Responder Training Access Request DCTS English 06/2021 HTML No
F-02814 First Responder Training Evaluation DCTS English 06/2021 HTML No
F-00152A Fiscal Analysis Details for Pay Over the Medicaid Fee-for-Service Rate Notification DMS English 02/2017 Excel No
F-40103 FMNP Senior Eligibility Agreement DPH English 12/2024 PDF Yes
F-40103H FMNP Senior Eligibility Agreement, Hmong DPH Hmong 12/2024 PDF Yes
F-40103S FMNP Senior Eligibility Agreement, Spanish DPH Spanish 12/2024 PDF Yes
F-16106 FoodShare Affidavit of Lost Income or Costs from a Disaster DMS English 08/2016 Word No
F-02491 FoodShare Buy and Make Food Separately DMS English 05/2019 PDF No
F-02491AR FoodShare Buy and Make Food Separately, Arabic DMS Arabic 05/2019 PDF No
F-02491CM FoodShare Buy and Make Food Separately, Chinese (Simplified) DMS Chinese (Simplified) 05/2019 PDF No
F-02491G FoodShare Buy and Make Food Separately, German DMS German 05/2019 PDF No
F-02491H FoodShare Buy and Make Food Separately, Hmong DMS Hmong 05/2019 PDF No
F-02491L FoodShare Buy and Make Food Separately, Laotian DMS Laotian 05/2019 PDF No
F-02491R FoodShare Buy and Make Food Separately, Russian DMS Russian 05/2019 PDF No
F-02491SO FoodShare Buy and Make Food Separately, Somali DMS Somali 05/2019 PDF No
F-02491S FoodShare Buy and Make Food Separately, Spanish DMS Spanish 05/2019 PDF No
F-01253 FoodShare Employment and Training (FSET) - Appointment Final Notice DMS English 07/2023 Word No
F-01256 FoodShare Employment and Training (FSET) - Discuss FSET Participation DMS English 07/2023 Word No
F-01254 FoodShare Employment and Training (FSET) - Employment Plan (EP) Appointment DMS English 07/2023 Word No
F-01252 FoodShare Employment and Training (FSET) - Initial Appointment DMS English 07/2023 Word No
F-01255 FoodShare Employment and Training (FSET) - Job Club Appointment DMS English 07/2023 Word No
F-01257 FoodShare Employment and Training (FSET) - Workshop Appointment DMS English 07/2023 Word No
F-00136 FoodShare Employment and Training (FSET) Program Participation Agreement DMS English 07/2023 PDF No
F-00136H FoodShare Employment and Training (FSET) Program Participation Agreement (Hmong) DMS Hmong 07/2023 PDF No
F-00136S FoodShare Employment and Training (FSET) Program Participation Agreement (Spanish) DMS Spanish 07/2023 PDF No

DHS is required under Wis. Stat. § 15.04(1) to establish and maintain a forms management program, appoint a forms officer, and establish and maintain a numbering and filing system for official forms.

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Last revised December 4, 2024