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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-45010E Training, Experience and Preceptor Attestation - E (Authorized User Of Remote Afterloader, Teletherapy or Gamma Stereotactic Radiosurgery Units) DPH English 07/2008 PDF No
F-45010F Training, Experience and Preceptor Attestation - F (Authorized Nuclear Pharmacist) DPH English 07/2008 PDF No
F-45010F Training, Experience and Preceptor Attestation - F (Authorized Nuclear Pharmacist) DPH English 07/2008 Word No
F-45010G Training, Experience and Preceptor Attestation - G (Authorized Medical Physicist) DPH English 07/2008 Word No
F-45010G Training, Experience and Preceptor Attestation - G (Authorized Medical Physicist) DPH English 07/2008 PDF No
F-40064 Transfer of the Emergency Food Assistance Program (TEFAP) Commodities between EFOs DPH English 12/2022 Word No
F-00989K Transition Plan - Other (IFSP) DMS English 02/2017 Word No
F-00989KS Transition Plan - Other (IFSP), Spanish DMS Spanish 02/2017 Word No
F-00989J Transition Plan - Turning 3 Years Old (IFSP) DMS English 02/2017 Word No
F-00989JS Transition Plan - Turning 3 Years Old (IFSP), Spanish DMS Spanish 02/2017 Word No
F-00315B Transition Written Prior Notice DMS English 02/2017 Word No
F-00315B Transition Written Prior Notice DMS English 02/2017 PDF No
F-00315B Transition Written Prior Notice, Spanish DMS Spanish 02/2017 PDF No
F-01330B Transportation Services DPH English 12/2014 Word No
F-47479 Trauma Care Facility Classification Application DPH English 05/2024 PDF No
F-02973A Trauma Care Facility Classification Review Committee Application DPH English 02/2022 Word No
F-00602C Trauma Care Facility Classification Review Committee: Focused Visit Action Plan Report DPH English 01/2023 Word No
F-00602 Trauma Care Facility Final Report DPH English 10/2024 Word No
F-00602A Trauma Care Facility In-Person Focused Visit Final Report DPH English 01/2023 Word No
F-00602B Trauma Care Facility Paperwork Submission Focused Visit Cover Sheet DPH English 01/2023 Word No
F-00602D Trauma Care Facility Quality Review Report DPH English 02/2023 Word No
F-02872 Trauma Care Facility Site Reviewer Performance Assessment DPH English 09/2021 HTML No
F-80190 Travel Reimbursement Request Non-State Employee DES English 09/2024 PDF No
F-80190 Travel Reimbursement Request Non-State Employee DES English 09/2024 Excel No
F-03093A Tribal ADRS Customer Service Agreement DPH English 09/2022 PDF No
F-02057A Tribal ADRS Program Authorization for the Release of Confidential Information DPH English 05/2022 Word No
F-00576A Tribal Aging and Disability Resource Specialist (TADRS) Annual Budget DPH English 08/2019 Excel No
F-00576 Tribal Aging and Disability Resource Specialist (TADRS) Application DPH English 06/2022 Word No
F-03104 Tribal Aging and Disability Resource Specialist Annual Update Checklist DPH English 11/2022 Word No
F-03104 Tribal Aging and Disability Resource Specialist Annual Update Checklist DPH English 11/2022 HTML No
F-11130 Tribal and Out-of-State Federally Qualified Health Center DMS English 01/2021 Excel No
F-11129A Tribal and Out-of-State Federally Qualified Health Center Cost Report Completion Instructions DMS English 01/2021 PDF No
F-11129 Tribal and Out-of-State Federally Qualified Health Center Cost Report Forms OIG English 01/2021 Excel No
F-11130A Tribal and Out-of-State Federally Qualified Health Center, Instructions DMS English 01/2021 PDF No
F-02462 Tuberculosis (TB) Treatment Assistance Enrollment and Agreement DPH English 10/2019 PDF No
F-02463 Tuberculosis (TB) Treatment Assistance Program - Request for Reimbursement DPH English 01/2021 PDF No
F-02461 Tuberculosis (TB) Treatment Assistance Program - Special Request DPH English 10/2020 PDF No
F-00905A Tuberculosis Contact Window Treatment Initial Request for Medication DPH English 09/2021 PDF No
F-44000 Tuberculosis Disease Initial Request for Medication DPH English 11/2023 PDF No
F-00905 Tuberculosis Infection - Initial Request for Medication DPH English 12/2024 Word No
F-02163 Tuberculosis Ordering and Billing Interface (TOBI) User Security and Confidentiality Agreement DPH English 06/2019 PDF No
F-42001 Tuberculosis Suspect Case Data DPH English 04/2001 PDF No
F-00634A Types and Locations of Early Intervention Records Birth to 3 Program DMS English 02/2017 Word No
F-00727 Typical Hearing Developmental Milestones DMS English 02/2017 Word No
F-10189 Undue Hardship Bed Hold Notice DMS English 04/2017 Word No
F-10188 Undue Hardship Waiver Decision for Facility DMS English 04/2017 Word No
F-03135 Update to an EMS Service Providers Operational Plan Components Checklist DPH English 03/2023 Word No
F-02140 Urgent Services Agreement DPH English 02/2024 Word No
F-02140 Urgent Services Agreement (DocuSign) DPH English 02/2024 HTML No
F-02140LP Urgent Services Agreement (Large Print) DPH English 02/2024 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.

Glossary

 
Last revised December 4, 2024