Skip to main content
State of Wisconsin flag

Official website of the State of Wisconsin

Dot gov

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

HTTPS

Secure .gov websites use HTTPS
A lock () or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

We have refreshed our website: Tell us what you think

Use the "Site Feedback" link found at the bottom of every webpage. We look forward to hearing from you!

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 Sort descending Division Language Release Date File Type Available to Order
F-01203 IRIS Provider Education - Health and Safety - Incident Reporting DMS English Word
F-01566 IRIS Self-Directed Personal Care (SDPC) - My Cares DMS English Word
F-01258 IRIS Self-Directed Personal Care (SDPC) Disclosure Statement DMS English Word
F-01258 IRIS Self-Directed Personal Care (SDPC) Disclosure Statement, French DMS French Word
F-01258 IRIS Self-Directed Personal Care (SDPC) Disclosure Statement, Spanish DMS Spanish Word
F-01319D IRIS Self-Directed Personal Care (SDPC) Involuntary Disenrollment Request DMS English Word
F-01578A IRIS SharePoint - Request for User Setup DMS English Word
F-01601B ISP Line Item Detail Budget DCTS English Excel
F-00989M Justification for Services Provided in Locations Other than Natural Environments (IFSP) DMS English Word
F-00989M Justification for Services Provided in Locations Other than Natural Environments (IFSP), Spanish DMS Spanish Word
F-03102 Katie Beckett Disability Evaluation Form DMS English Word
F-03102 Katie Beckett Disability Evaluation Form DMS English PDF
F-62501 Laboratory Application to Perform Alcohol, Controlled Substance, and Controlled Substance Analog Testing DQA English Word
F-62501 Laboratory Application to Perform Alcohol, Controlled Substance, and Controlled Substance Analog Testing DQA English PDF
F-02265 Latent Tuberculosis Infection (LTBI) Confidential Case Report DPH English PDF
F-44125 Latent Tuberculosis Infection (LTBI) Follow-Up Report DPH English PDF
F-44063 Lead (Pb) Principal Instructor Application DPH English PDF
F-44012 Lead Abatement Notification DPH English PDF
F-00171 Lead Company Certification Application DPH English PDF
F-00171 Lead Company Certification Application, Spanish DPH Spanish PDF
F-01320 Lead Test Kit Documentation DPH English Word
F-44062 Lead Training Manager Application DPH English PDF
F-44013 Lead-Based Paint (LBP) Investigation Summary Report DPH English PDF
F-44003 Lead-Safe Renovator Application DPH English PDF
F-44003 Lead-Safe Renovator Application, Spanish DPH Spanish PDF
F-44001A Legal Notice: Required Immunizations for Admission to Wisconsin Child Care Centers DPH English PDF
F-44001A Legal Notice: Required Immunizations for Admission to Wisconsin Child Care Centers, Spanish DPH Spanish PDF
F-44001 Legal Notice: Required Immunizations for Admission to Wisconsin Schools DPH English PDF
F-44001 Legal Notice: Required Immunizations for Admission to Wisconsin Schools, Chinese Mandarin DPH Chinese Mandarin PDF
F-44001 Legal Notice: Required Immunizations for Admission to Wisconsin Schools, Hmong DPH Hmong PDF
F-44001 Legal Notice: Required Immunizations for Admission to Wisconsin Schools, Somali DPH Somali PDF
F-44001 Legal Notice: Required Immunizations for Admission to Wisconsin Schools, Spanish DPH Spanish PDF
F-01785 Letter - 40-Hour Health and Safety Assurance Policy Exception Request Denial DMS English Word
F-01661 Letter - Foster Care Termination, Family DMS English Word
F-01661 Letter - Foster Care Termination, Youth DMS English Word
F-01204A Letter - IRIS Program Notice of Action - Denial DMS English Word
F-01204E Letter - IRIS Program Notice of Action - Functional Eligibility DMS English Word
F-01204B Letter - IRIS Program Notice of Action - Limit DMS English Word
F-01204C Letter - IRIS Program Notice of Action - Reduction DMS English Word
F-01204D Letter - IRIS Program Notice of Action - Termination DMS English Word
F-05260 Letter of Non-Marriage Application DPH English PDF
F-02607 Letter: 1-2 Bed Adult Family Home Recertification Application DMS English Word
F-01293B Letter: Fiscal Employer Agent (FEA) Change Denial DMS English Word
F-02839 Letter: IRIS Individual Support and Service Plan (ISSP) Signature Request DMS English Word
F-01567 Letter: Request for Assignment of Medical Benefits DMS English Word
F-02876 Letter: Screen Visit Not Scheduled DMS English Word
F-02876 Letter: Screen Visit Not Scheduled, Hmong DMS Hmong Word
F-02876 Letter: Screen Visit Not Scheduled, Spanish DMS Spanish Word
F-02874 Letter: Screen Visit Scheduled DMS English Word
F-02874 Letter: Screen Visit Scheduled, Hmong DMS Hmong Word
Last revised January 23, 2023