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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-10119A Temporary Enrollment for Family Planning Only Services Application Instructions DMS English 02/2024 PDF No
F-02260 Temporary QUEST Card Issuance Worker Checklist DMS English 12/2023 PDF No
F-02260A Temporary Quest Card Request DMS English 10/2023 PDF No
F-02260ABU Temporary Quest Card Request, Burmese DMS Burmese 10/2023 PDF No
F-02260ACM Temporary Quest Card Request, Chinese (Simplified) DMS Chinese (Simplified) 10/2023 PDF No
F-02260AG Temporary Quest Card Request, German DMS German 10/2023 PDF No
F-02260AH Temporary Quest Card Request, Hmong DMS Hmong 10/2023 PDF No
F-02260AR Temporary Quest Card Request, Russian DMS Russian 10/2023 PDF No
F-02260ASO Temporary Quest Card Request, Somali DMS Somali 10/2023 PDF No
F-02260AS Temporary Quest Card Request, Spanish DMS Spanish 10/2023 PDF No
F-01330A Temporary Shelter (Community Partner/Non-LTC) DPH English 12/2014 Word No
F-01330 Temporary Shelter (Like Facility) DPH English 08/2014 Word No
F-02436 Testing Questionnaire (AIDS/HIV) DPH English 02/2020 PDF No
F-02436S Testing Questionnaire (AIDS/HIV), Spanish DPH Spanish 02/2020 PDF No
F-01764 The Emergency Food Assistance Program (TEFAP) - Distribution Site Review DPH English 07/2023 Word No
F-01763 The Emergency Food Assistance Program (TEFAP) - Review Findings for Food Pantries, Soup Kitchens and Shelters DPH English 12/2016 Word No
F-01766 The Emergency Food Assistance Program (TEFAP) - Shelter Review DPH English 12/2016 Word No
F-40059 The Emergency Food Assistance Program (TEFAP) Eligibility Application DPH English 03/2024 PDF No
F-40059H The Emergency Food Assistance Program (TEFAP) Eligibility Application, Hmong DPH Hmong 03/2024 PDF No
F-40059S The Emergency Food Assistance Program (TEFAP) Eligibility Application, Spanish DPH Spanish 03/2024 PDF No
F-40065 The Emergency Food Assistance Program (TEFAP) Storage Facility Review Monitoring Report DPH English 07/2004 Word No
F-01768 The Emergency Food Assistance Program - Soup Kitchen Review DPH English 12/2016 Word No
F-40060 The Emergency Food Assistance Program Commodities Inventory Report DPH English 06/2000 HTML No
F-00412 Third Party Administration (TPA) Children's Medicaid Waivers Provider Billing and Service Information DMS English 02/2017 Word No
F-03051 Tick Identification DPH English 06/2022 HTML No
F-00336 Tickborne Rickettsial Disease Case Report DPH English 11/2010 PDF No
F-02639 Time and Task Pretest DPH English 03/2020 Word No
F-13047 Timely Filing Appeals Request and Instructions DMS English 08/2015 Word No
F-13047 Timely Filing Appeals Request and Instructions DMS English 08/2015 PDF No
F-02793 Title V Block Grant Funding Request DPH English 04/2021 Word No
F-03023 Title X Expenditure Report by Profile DPH English 04/2022 Excel No
F-03143 Tobacco 21 Materials Order Request DPH English 06/2023 HTML No
F-03295E Topic Analysis - Asbestos Course Accreditation DPH English 10/2024 Word No
F-03281E Topic Analysis - Lead Course Accreditation DPH English 10/2024 Word No
F-20942A Total Expenses All Sources by Target Group and Standard Program Cluster Worksheet OPIB English 05/2009 PDF No
F-13393 Trading Partner 835 Designation DMS English 02/2010 Word No
F-13393 Trading Partner 835 Designation DMS English 02/2010 PDF No
F-13393A Trading Partner 835 Designation Completion Instructions DMS English 07/2012 PDF No
F-03173 Training Center Course Approval Requirements Checklist DPH English 06/2023 PDF No
F-03172 Training Center Initial and Renewal Certification Requirements Checklist DPH English 06/2023 PDF No
F-02346 Training Course Accreditation Application Lead Disciplines DPH English 07/2021 PDF No
F-45010A Training, Experience and Preceptor Attestation - A (Radiation Safety Officer For Medical Use) DPH English 07/2008 PDF No
F-45010A Training, Experience and Preceptor Attestation - A (Radiation Safety Officer For Medical Use) DPH English 07/2008 Word No
F-45010B Training, Experience and Preceptor Attestation - B (Authorized User - Written Directive Not Required) DPH English 07/2008 Word No
F-45010B Training, Experience and Preceptor Attestation - B (Authorized User - Written Directive Not Required) DPH English 07/2008 PDF No
F-45010C Training, Experience and Preceptor Attestation - C (Unsealed Radioactive Material Requiring A Written Directive) DPH English 07/2008 PDF No
F-45010C Training, Experience and Preceptor Attestation - C (Unsealed Radioactive Material Requiring A Written Directive) DPH English 07/2008 Word No
F-45010D Training, Experience and Preceptor Attestation - D (Authorized User For Manual Brachytherapy Sources) DPH English 07/2008 PDF No
F-45010D Training, Experience and Preceptor Attestation - D (Authorized User For Manual Brachytherapy Sources) DPH English 07/2008 Word No
F-45010E Training, Experience and Preceptor Attestation - E (Authorized User of Remote Afterloader, Teletherapy or Gamma Stereotactic Radiosurgery Units) DPH English 07/2008 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