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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-02915 FoodShare Employment and Training (FSET) Program Quarterly and Quality Assurance Report DMS English 03/2022 Word No
F-02944 FoodShare Management Evaluation Review (MER) Customer Survey DMS English 02/2024 HTML No
F-02944S FoodShare Management Evaluation Review (MER) Customer Survey, Spanish DMS Spanish 02/2024 HTML No
F-16024 FoodShare Notice of Disqualification DMS English 07/2023 PDF No
F-16024AR FoodShare Notice of Disqualification, Arabic DMS Arabic 07/2023 PDF No
F-16024CM FoodShare Notice of Disqualification, Chinese (Simplified) DMS Chinese (Simplified) 07/2023 PDF No
F-16024G FoodShare Notice of Disqualification, German DMS German 05/2018 PDF No
F-16024H FoodShare Notice of Disqualification, Hmong DMS Hmong 07/2023 PDF No
F-16024L FoodShare Notice of Disqualification, Laotian DMS Laotian 05/2018 PDF No
F-16024R FoodShare Notice of Disqualification, Russian DMS Russian 07/2023 PDF No
F-16024SO FoodShare Notice of Disqualification, Somali DMS Somali 07/2023 PDF No
F-16024S FoodShare Notice of Disqualification, Spanish DMS Spanish 07/2023 PDF No
F-02866 FoodShare Request for Proof DMS English 09/2021 Word No
F-02866H FoodShare Request for Proof, Hmong DMS Hmong 09/2021 Word No
F-02866S FoodShare Request for Proof, Spanish DMS Spanish 09/2021 Word No
F-16076 FoodShare Six-Month Report DMS English 10/2024 Word No
F-16076A FoodShare Six-Month Report Instructions DMS English 10/2023 Word No
F-16076AH FoodShare Six-Month Report Instructions, Hmong DMS Hmong 10/2023 Word No
F-16076AS FoodShare Six-Month Report Instructions, Spanish DMS Spanish 10/2023 Word No
F-16076H FoodShare Six-Month Report, Hmong DMS Hmong 10/2024 Word No
F-16076S FoodShare Six-Month Report, Spanish DMS Spanish 10/2024 Word No
F-16066 FoodShare Wisconsin Income Change Report DMS English 10/2024 PDF No
F-16066AR FoodShare Wisconsin Income Change Report, Arabic DMS Arabic 10/2024 PDF No
F-16066BU FoodShare Wisconsin Income Change Report, Burmese DMS Burmese 10/2024 PDF No
F-16066CM FoodShare Wisconsin Income Change Report, Chinese (Simplified) DMS Chinese (Simplified) 10/2024 PDF No
F-16066G FoodShare Wisconsin Income Change Report, German DMS German 10/2024 PDF No
F-16066H FoodShare Wisconsin Income Change Report, Hmong DMS Hmong 10/2024 PDF No
F-16066L FoodShare Wisconsin Income Change Report, Laotian DMS Laotian 10/2024 PDF No
F-16066R FoodShare Wisconsin Income Change Report, Russian DMS Russian 10/2024 PDF No
F-16066SO FoodShare Wisconsin Income Change Report, Somali DMS Somali 10/2024 PDF No
F-16066S FoodShare Wisconsin Income Change Report, Spanish DMS Spanish 10/2024 PDF No
F-16073 FoodShare Wisconsin Nonfinancial Worksheet DMS English 08/2008 PDF No
F-16030A FoodShare Wisconsin Overpayment Calculator DMS English 10/2024 Excel No
F-16029 FoodShare Wisconsin Repayment Agreement DMS English 07/2008 PDF No
F-16029S FoodShare Wisconsin Repayment Agreement, Spanish DMS Spanish 07/2008 PDF No
F-16033 FoodShare Worksheet DMS English 10/2023 PDF No
F-80025A Forms / Publications Order OS English 07/2018 PDF No
F-80025A Forms / Publications Order OS English 07/2018 Word No
F-80025A Forms / Publications Requisition - Diabetes Materials DPH English 08/2022 Word No
F-20920 Formula to Determine Amount of Income Available to Pay for Room & Board in Substitute Care DMS English 03/2017 Word No
F-02493 ForwardHealth Prior Authorization Speech-Generating Device Purchase Recommendation Attachment DMS English 07/2019 PDF No
F-02493 ForwardHealth Prior Authorization Speech-Generating Device Purchase Recommendation Attachment DMS English 07/2019 Word No
F-02493A ForwardHealth Prior Authorization Speech-Generating Device Purchase Recommendation Attachment Instructions DMS English 07/2019 PDF No
F-02494 ForwardHealth Prior Authorization Speech-Generating Device Skills and Needs Profile Attachment DMS English 07/2019 Word No
F-02494 ForwardHealth Prior Authorization Speech-Generating Device Skills and Needs Profile Attachment DMS English 07/2019 PDF No
F-02494A ForwardHealth Prior Authorization Speech-Generating Device Skills and Needs Profile Attachment Instructions DMS English 07/2019 PDF No
F-01361 ForwardHealth Provider Express Enrollment Change of Address DMS English 09/2014 HTML No
F-01999 Foster Grandparent Program: State Match Funding Application DPH English 09/2019 Word No
F-02614 Fraud Prevention and Investigation Program (FPIP) Fraud Year Contact Information OIG English 02/2020 Word No
F-01261 Fraud Statement - IRIS Program DMS English 07/2018 Word 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