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Data Collection (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 form, enter the number or a portion of the title in the search box below.

Assigned Number Title Division Language Release Date File Type Available to Order
F-00136S FoodShare Employment and Training (FSET) Program Participation Agreement (Spanish) DMS Spanish 07/2023 PDF No
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 Word No
F-02493 ForwardHealth Prior Authorization Speech-Generating Device Purchase Recommendation Attachment DMS English 07/2019 PDF 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

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Last revised August 26, 2024